On June 23, 2025, Health and Human Services Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz announced a voluntary pledge from major U.S. health insurers to reform prior authorization (PA) processes. This initiative aims to reduce administrative burdens and improve timely access to care for millions of Americans.
In this Office Hours episode, we delve into the specifics of the announcement, examine the historical context of prior authorization reforms, and discuss the real-world implications for healthcare providers and patients. We’ll also explore how these changes align with ongoing conversations we’re having with clients and what steps providers can take to prepare for the evolving landscape.
Learning Objectives:
- Understand the key components of the recent prior authorization reform pledge and its potential impact on healthcare delivery.
- Analyze historical prior authorization reform efforts and assess their effectiveness in reducing administrative burdens and improving patient care.
- Identify actionable strategies for healthcare providers to navigate the current prior authorization environment and prepare for upcoming changes.
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