Key initiatives include standardizing electronic submissions, reducing the scope of claims requiring prior authorization, ensuring continuity of care when patients change plans, and expanding real-time responses.
Last week’s pledge from more than 40 health insurers to cut down on prior authorizations came after some behind-the-scenes convincing from the Trump administration.
The administration pushed insurers to sign a voluntary pledge to cut back on prior authorizations and simplify the process, Health and Human Services Department Secretary Robert F. Kennedy Jr. said Monday.
The pledge came from two major insurance industry lobbying groups, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, and member insurers who together cover almost 260 million Americans.
Read the Industry Press Release
Bannow, T., & Cirruzzo, C. (2025, June 23). Health insurers promise to reduce barriers to care under pressure from Trump administration. STAT. https://www.statnews.com/2025/06/23/health-insurers-pledge-to-cut-down-prior-authorization-requests-speed-up-processing-will-it-help/
Marselas, K. (2025, June 25). On prior authorization, nursing homes look to the past to guess their future. McKnight’s Long-Term Care News. https://www.mcknights.com/daily-editors-notes/on-prior-authorization-nursing-homes-look-to-the-past-to-guess-their-future/
Siddiqi, Z., (2025, June 24). ‘Most harmful’: health insurer prior authorization reforms fall short of nursing home industry expectations. Skilled Nursing News. https://skillednursingnews.com/2025/06/most-harmful-health-insurer-prior-authorization-reforms-fall-short-of-nursing-home-industry-expectations/
O’Connor, J. (2025, June 23). BREAKING: Feds announce insurers, MA plans will reduce, refine use of prior authorizations. McKnight’s Long-Term Care News. https://www.mcknights.com/news/breaking-feds-announce-insurers-ma-plan-will-reduce-refine-use-of-prior-authorizations/
Marselas, K. (2025, June 23). UPDATED: Providers ‘hopeful’ but ‘skeptical’ as feds announce insurers, MA plans will limit prior authorization use – McKnight’s Long-Term Care News. McKnight’s Long-Term Care News. https://www.mcknights.com/news/updated-providers-hopeful-but-skeptical-as-feds-announce-insurers-ma-plans-will-limit-prior-authorization-use/
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