The nation’s leading health insurance providers vowed on June 23 to revamp the approval process for medical care claims.
The Blue Cross Blue Shield Association and the AHIP, the nation’s largest health insurance trade association, committed to “streamline, simplify, and reduce prior authorization,” which requires health care professionals to obtain advance approval from a health plan before care is delivered to the patient to qualify for paid coverage.
“The healthcare system remains fragmented and burdened by outdated manual processes, resulting in frustration for patients and providers alike,” said AHIP President and CEO Mike Tuffin. “Health plans are making voluntary commitments to deliver a more seamless patient experience and enable providers to focus on patient care, while also helping to modernize the system.”…