June 23 (Reuters) -
America's Health Insurance Plans said on Monday that U.S.
health insurers will take additional measures to simplify their
requirements for prior approval on medicines and medical
services.
Health insurers will work to develop standardized data and
submission requirements for electronic prior authorization by
January 1, 2027, the industry trade group said in a statement.
The firms will also work on reducing the scope of claims
that require prior authorization by January 1, 2026, and ensure
the authorizations are valid for a 90-day period if the patient
changes insurance companies during the course of treatment.
U.S. Health and Human Services Secretary Robert F. Kennedy,
Jr. and Centers for Medicare and Medicaid Services Administrator
Mehmet Oz are scheduled to discuss health insurance reforms in a
press conference later in the day.
"The health care system remains fragmented and burdened by
outdated manual processes, resulting in frustration for patients
and providers alike," AHIP CEO Mike Tuffin said.
Separately, CVS Health's ( CVS ) insurance unit Aetna
announced a series of measures on Monday.
This included the move to bundle multiple authorization
requests into one upfront approval for people with lung, breast
or prostate cancer who need such authorizations for MRI or CT
scans.
The killing of the head of UnitedHealth's ( UNH ) insurance
unit last year had ignited significant social media backlash
from Americans struggling to receive and pay for medical care.
UnitedHealth ( UNH ) had said in March it would ease requirements to
get insurance authorization when renewing prescriptions on about
80 drugs, aiming to eliminate up to 25% of reauthorization
requirements.
(Reporting by Mariam Sunny in Bengaluru)