Prior Auth Reform Pledge and What Comes Next

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 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.

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