U.S. insurers to change approval process
The Unitedhealthcare sign is exhibited on 19 July 2023 at an office building in Phoenix, Arizona.
Patrick T. Fallon | AFP | Getty Images
Health plans under the great US insurers said in a statement on Monday that they voluntarily agree to accelerate and reduce previous powers – a process of usually a great pain of pain for patients and providers while taking and implementing this care.
Previous authorization ensures that providers receive approval from a patient before performing certain services or treatments. Insurers say that the process enables patients to get the necessary maintenance and control the costs. However, patients and providers have previously made authorization in some cases because they caused maintenance delays or denials and a doctor’s burnout.
Duzines under large insurance companies CVS Health– Unitedhealthcare– Cigna– Humana– Elevance Health And according to the release of AHİP, a trade group representing health plans, it decided to take care of patients faster and to reduce the administrative burden on providers.
Insurers will apply changes in markets, including commercial scope and some medicaid plans. The group said that fine adjustments will benefit 257 million Americans.
Movement comes months after the murder of the US Health Insurance industry’s senior manager Brian Thompson, the senior manager of Unitedhealthcare. It is based on the work of many companies to simplify previous authorization processes.
Efforts said that at the beginning of 2027, electronic was to establish a common standard to send previous authorization requests. Until then, he said that at least 80% of the previous authorization approvals with all the necessary clinical documents will be answered in real time.
This is to facilitate the process and many of them Still send requests manually Not on paper, not electronically.
Individual plans will reduce the types of requests subject to authorization requests until 2026.
“We are looking forward to cooperating with payers to ensure that these efforts lead to meaningful and permanent improvements in patient care,” said Shawn Martin, CEO of the American Academy of Family Physicians. He said.
