Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated Fri 1:01 PM MT
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Managed Care·July 17, 2026

Major Insurers Decline to Renew Trump Administration Prior Authorization Pledge

Several health insurers have declined to sign an updated version of the Trump administration's voluntary prior authorization reform commitment, less than one year after the original pledge. The commitment, signed by dozens of insurers in 2025, aimed to streamline prior authorization processes that require patients and physicians to obtain approval before treatment. The withdrawal of support from some plans signals uncertainty about industry-wide adoption of standardized prior authorization improvements. For Medicaid managed care organizations, this development indicates that voluntary reform efforts may not deliver consistent changes across all payers, potentially leaving MCOs navigating different standards and timelines for prior authorization requirements.

Why it matters

Inconsistent adoption of prior authorization reforms across payers creates operational complexity for Medicaid MCOs managing provider networks and member access to care.

Managed Care

Read the full article at kffhealthnews.org

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