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Payer & Operations

Health insurers move to standardize prior authorization

By Intent.Health Team | April 24, 2026
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What’s happening

Major U.S. insurers, including UnitedHealth Group and CVS Health, are introducing standardized processes for prior authorization requests. On April 24, 2026, UnitedHealthcare announced that over 50% of its volume is now standardized, while Aetna (CVS) has reached 88% standardization.

The move aims to simplify approvals for treatments and reduce administrative delays for providers and patients.

What’s changing / Business impact

  • Standardization reduces: paperwork and approval delays.
  • Insurers are responding to pressure to simplify access to care.
  • Could improve: provider efficiency and patient experience.
  • Signals a shift toward interoperability in payer systems.

Why this matters

Prior authorization has been one of the biggest friction points in U.S. healthcare delivery.

This shows:

  • Access to care is increasingly shaped by administrative processes, not just clinical decisions.
  • Payers are being pushed toward system-wide standardization.
  • Operational inefficiencies are becoming a core battleground in healthcare.

CORE TAKEAWAY

Healthcare access isn’t just about coverage, it’s about how easily care gets approved.

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