CommonSpirit’s 5 targets for judging payer prior auth reform — and its Humana milestone
In 2025, insurers committed to scaling back and simplifying prior authorization as they fall into line with standards established by the 2024 Interoperability and Prior Authorization and Medicare Advantage final rules. But recent aggregated data on prior authorization — which insurers now have to report, thanks to the 2024 regulation — lacks relevant context. For […] The post CommonSpirit’s 5 targets for judging payer prior auth reform — and its Humana milestone appeared first on Becker's Pay...
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Draft Insight Angle
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Humana — policy / regulatory changes. Via Becker's Payer Issues.
Analytic angles
- Compare against the current CMS rate/bid-cycle documents.
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Draft paragraph
[DRAFT — verify before any external use] Becker's Payer Issues reports on policy / regulatory changes involving Humana: In 2025, insurers committed to scaling back and simplifying prior authorization as they fall into line with standards established by the 2024 Interoperability and Prior Authorization and Medicare Advantage final rules. B…
Note: This is an early signal based on public reporting. Confirm against primary sources before drawing conclusions. Market dynamics may shift as additional information emerges.