Insurers ease up on prior authorization
Marketplace All-in-One
Marketplace
4.5 • 1.4K Ratings
🗓️ 6 May 2026
⏱️ 8 minutes
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Summary
United Healthcare, the nation’s biggest insurer, announced that it’s cutting back on its requirements for prior authorization by 30%. Prior authorization is when your doctor orders a medical procedure, test, or drug, but you can't get it before the insurance company's approval. For insurers, it's a way to cut costs. For doctors and patients, it's a source of massive frustration. Plus, we check in on the state of Iran's wartime economy.
Transcript
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| 0:28.3 | Insurers are easing up on prior authorization. |
| 0:32.9 | From Marketplace, I'm Sabrina Beneshore in New York. United Healthcare, the nation's biggest |
| 0:38.1 | insurer, announced that it's cutting back on its requirements for prior authorization by 30%. |
| 0:44.8 | Prior authorization is where your doctor orders a medical procedure or a test or a drug, but you can't |
| 0:50.1 | get it until your insurance company approves it. From the insurer's perspective, it's a way to cut costs and prevent people from getting expensive or unnecessary care. For doctors and patients, it has been a source of massive frustration. United Health isn't the only one to cut back on the requirement, though, and other insurers have been doing this in the past year as well. |
| 1:11.6 | Marketplaces Samantha Fields has more. |
| 1:13.6 | If you have a chronic health condition, you're probably quite familiar with prior authorization. |
| 1:18.7 | Amy Killalay at Georgetown's Center on Health Insurance Reforms has done a lot of research |
| 1:22.7 | uncovered for diabetes. |
| 1:24.6 | And I will say continuous glucose monitors are often, if not predominantly, |
| 1:30.9 | covered with prior authorization attached to them. Lots of other durable medical equipment |
| 1:36.1 | prescribed by a doctor often requires insurer approval too, like insulin pumps and wheelchairs. |
| 1:42.1 | So do certain surgeries, imaging tests like MRIs, and many |
| 1:45.6 | prescription drugs and therapies. K-Pestana at the health policy nonprofit KFF says in polling |
| 1:51.5 | people with chronic illnesses... After cost, they say that prior authorization is the biggest |
| 1:56.3 | administrative hassle they have. It's also increasingly an issue even for people who don't have a chronic illness. |
| 2:02.4 | Pestina says that's likely why there's growing pressure for something to change. |
| 2:06.5 | It's coming at a time where costs are going up. |
| 2:10.0 | People are signing up for coverage and then realizing that something that they need, the care of their need is not being covered. |
... |
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