UnitedHealthcare will remove prior authorization requirements for 1,700 diagnostic codes. The implementation begins October 1, 2026.
The company aims to reduce its total prior authorization volume by 30%. This goal is set for completion by the end of 2026.
The policy change affects over 48 million members across commercial, Medicare Advantage, and Medicaid plans. Covered clinical areas include cardiology, genetic testing, physical therapy, home health, and musculoskeletal procedures.
UnitedHealthcare is responding to pressure from patients and regulators to reduce administrative burdens. The initiative seeks to simplify healthcare and allow doctors to focus on patient care.