Home » News » Insurance treatment preliminary approval is faster… Consensus, etc. America JoongAng Ilbo

Insurance treatment preliminary approval is faster… Consensus, etc. America JoongAng Ilbo

news">

Breaking News: Health Insurance Treatment Approval Speeds Up in 2027

Los Angeles, June 26, 2025 – In a significant development for healthcare, the Federal Health and Welfare Department (HHS) and Medicare and Medicaid Service Center (CMS) have announced a major overhaul in the pre-approval process for medical treatments. This move aims to streamline healthcare delivery and enhance patient care.

Accelerated Pre-Approval Process

As early as next year, health insurance subscribers will be able to receive major medical services such as colonoscopies or cataract surgeries with faster pre-approval times. This is part of a broader agreement between the HHS and CMS with leading insurers like United Healthcare, Signa, Helemen, Atna, Blue Cross Blue Shield, and Kaiser Permanente.

Simplified Procedures for Faster Decisions

Pre-approval is a crucial step where insurance companies assess a patient’s test or treatment. Traditionally, this process has been a bottleneck, delaying necessary medical care. Under the new agreement, insurers will simplify document procedures, making medical decision-making faster and more transparent for both patients and providers.

Reduction in Pre-Approval Items

The plan includes reducing the number of medical services requiring pre-approval by January 1, 2026. By January 1, 2027, 80% of all preliminary approvals will transition to real-time approvals, significantly speeding up access to essential healthcare services.

Support from Health Experts

KFF Health News, a non-profit health specialist, expects the pre-approval requirements for universal medical services such as knee endoscopy, delivery, colonoscopy, and cataract surgery to be relaxed or abolished. This change is expected to benefit millions of patients across the United States.

Continuity of Care During Insurance Changes

Additionally, patients changing their health insurance company will be able to continue their existing treatment for 90 days without pre-approval, ensuring continuity of care during transitions.

Future Implications

This development is a step towards a more efficient and patient-centered healthcare system. Faster approval times mean that patients can receive the medical care they need without unnecessary delays, improving overall health outcomes.

Stay Updated with the Latest News

For more updates and the latest news on healthcare reforms, keep visiting archyde.com. Subscribe to our newsletter to stay informed about breaking news and important developments in the healthcare sector.

You may also like

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Adblock Detected

Please support us by disabling your AdBlocker extension from your browsers for our website.