Payer Strategy & Managed Care
Expert articles and analysis related to payer strategy & managed care.
AI Summary — Last 24 Hours
Over the last 24 hours, major payers—including Aetna and Cigna—have reported an 11% reduction in prior authorization requirements following last year's industry-wide reform pledge, signaling incremental but tangible progress toward reducing administrative burdens that have historically impeded value-based care transformation (Healthcare Dive, Modern Healthcare). Simultaneously, CMMI’s recently launched BALANCE program—aimed at expanding access to GLP-1 therapies for Medicare Advantage populations with obesity—continues to prompt intensified discussion about selection risk and payment adequacy as plans prepare 2027 bids, underscoring ongoing tensions between innovation and cost containment.
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Group cutting prior authorizations by 11% includes Aetna, Cigna
Group cutting prior authorizations by 11% includes Aetna, Cigna Modern Healthcare
Insurers have eliminated 11% of prior auths under reform pledge
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