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Approximately three quarters of the country’s health insurance providers have signed a number of commitments this week, seeking to improve the care of patients by reducing bureaucratic obstacles caused by the requirements of insurance companies.
Director of Medicare Centers and Medicaid Services, Dr. Mehmet Oz, Along with the Secretary of Health and Human Services, Robert F. Kennedy -Youth has announced a new voluntary poster from the Insurance I Provid Insurance Insurance Insurance Insurance Provinters during a press conference. The new commitments are aimed at accelerating and reducing pre -authorization processes used by insurers, the process that was long ago forwarded For excessively delayed care of patients and other bureaucratic obstacles, patients adversely affect.
“The key is not a mandate. This is not a bill, a rule. This is not legal. This is an opportunity to demonstrate itself,” Oz said on Monday. “But due to the fact that three-quarters of patients in the country are already covered by the participants of this promise, this is a good start, and the answer was staggering.”
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This week, medical insurance companies representing approximately 75% of patients in the US have signed a pledge under the guidance of an industry aimed at improving the care of patients through the streamlining of the long -owned authorization process used by insurance companies to provide appropriate assistance. (Getti Images; AP; Istock)
Pre-authorization-is the process that requires Treatment or services. Essentially, the process seeks to provide patients with the right solution for a particular problem.
However, according to Oza, this process has led to the fact that doctors make a huge number of a person to meet the requirements of pre -authorization insurers. At the press conference on Monday, he noted that on average, doctors should spend 12 hours a week, engaged in these requirements they see about 40 a week.
“It disappointing doctors. Sometimes it leads to care that is significantly delayed. It destroys the trust of public trust in the healthcare system. This is what we cannot tolerate,” Oz insisted.
Dr. Mehmet Oz, Director of the Medicare and Medicaid Services centers, said during a press conference on Monday, which announced a new location under the guidance of the industry that new commitments would significantly improve patients’ access to medical care. (Anna Moneymaker/Getty Images)
The key was accepted by some of the largest insurance suppliers in the country, including United Health, Cigna, Humana, Blue Cross & Blue Shield, Aetna and more. Although commitments under the guidance of the industry is aimed at improving patient care, it can potentially apply their profits when patients start to seek help more often.
The obligations of the insurers fixed this week include active steps to implement the overall standardized process for electronic pre -authorization through the development of standardized requirements for supporting faster turning. The purpose is that the new basis acts until January 1, 2027.
Another part of the collateral includes obligations on individual insurance plans for the implementation of certain cuts in the use of medical preliminary authorization by January 1, 2026. On this date, when patients switch insurance providers during treatment, their new plan must honor their existing statements of the previous 90 days as long as the patient goes.
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Previous authorization-is a long-critical criticism claiming to block patients’ access to medical care. (Istock)
Transparency is also a key part of new commitments from insurance providers. Health plans, enhanced by commitments, promise to provide clear and simple to understand the explanation of the pre -authorization decisions, including the recommendations for appeals. The commitments also state that by 2027 80% of electronic approval of the pre -authorization of companies will meet in real time.
Oz, during a press conference on Monday, compared the bail under the guidance of the Bible, saying: “Meper will inherit the land.”
“I always grew up thinking that the” meek “meant weakly, but that’s not what meek.
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“That’s what these Insurance companies And the hospital systems did, “he continued.
