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RFK Jr and Dr Oz announce insurers’ ‘pledge’ to reform prior authorization The US health secretary Robert F Kennedy Jr and Dr Mehmet Oz announced a voluntary agreement with insurance companies to change prior authorization practices – where private health insurers require patients to ask for permission before they can receive medical treatment. The majority of Americans receive health insurance through a private company, whether through an employer, or a privatization of public health insurance programs, such as Medicare Advantage. Prior authorization is an insurance company practice that is both common and abhorred. There are whole social media accounts devoted to egregious examples of it, campaigns for change built around it, and, in Oz’s words, there is “violence in the streets” over prior authorization – an allusion to the broad daylight killing of an insurance company CEO. Oz said repeatedly in a press conference on Monday that 85% of Americans or their loved ones had experienced a delay or denial of care thanks to prior authorization. “The pledge is not a mandate, this is not a bill or rule – this is an opportunity for industry to show itself,” said Oz, who heads the enormous federal health insurance bureaucracy, the Centers for Medicare and Medicaid (CMS). The agency oversees the health insurance of about 68 million seniors through Medicare and about 71 million low-income and disabled Americans
Monday, 06/23/2025, Video Clip |
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