Cigna to Standardize Electronic Prior Authorization for Over 70% of Volume
Cigna will standardize electronic prior authorization for medical services covering over 70% of its prior authorization volume by year-end, aiming to accelerate patient care access and reduce administrative work. The company has already cut medical prior authorizations by about 15%, lowering paperwork burdens for providers.
1. Initiative to Standardize Prior Authorization
The Cigna Group has partnered with leading health plans to adopt uniform electronic prior authorization submission requirements for commonly reviewed medical services, intending to streamline processes for patients and providers.
2. Coverage and Timeline
By the end of 2026, standard electronic prior authorization processes will apply to services representing more than 70% of Cigna's prior authorization volume, with additional services added on a rolling basis.
3. Previous Reductions in Authorization Volume
Cigna has already reduced its overall medical prior authorizations by approximately 15%, leading to faster care access for patients and reduced paperwork for healthcare providers.
4. Industry Collaboration
This initiative supports the health plan industry's multi-year commitments with HHS and CMS to simplify prior authorization and advance real-time electronic approvals, marking a significant step towards a more efficient healthcare system.