Stock Markets May 5, 2026 06:43 AM

UnitedHealthcare to Remove Prior Authorization for 30% of Services, Aiming to Cut Paperwork and Delays

Insurer says additional reductions will target outpatient surgeries, select diagnostics and certain therapies by year-end

By Priya Menon UNH
UnitedHealthcare to Remove Prior Authorization for 30% of Services, Aiming to Cut Paperwork and Delays
UNH

On May 5, UnitedHealthcare announced it will eliminate prior authorization requirements for 30% of healthcare services, with a further cut to another 30% of remaining authorizations on selected outpatient procedures and diagnostics by the end of the year. The insurer said prior authorization now applies to only 2% of its medical services, and that about 92% of submitted authorizations are approved in less than 24 hours on average. The company also plans to move more than 70% of prior authorization submissions into a standardized process by year-end.

Key Points

  • UnitedHealthcare will remove prior authorization requirements for 30% of healthcare services and plans to cut an additional 30% of remaining prior authorizations on select outpatient surgeries, certain diagnostics like echocardiograms, and some outpatient therapies and chiropractic care by year-end.
  • Prior authorizations currently apply to only 2% of UnitedHealthcares medical services; of those submitted, about 92% are approved and approvals take less than 24 hours on average.
  • The insurer expects more than 70% of its prior authorization submissions to use the new standardized submission process by the end of the year, impacting payers, providers, diagnostic services, outpatient surgical centers, and therapy providers.

May 5 - UnitedHealthcare said on Tuesday that it will remove prior approval rules for 30% of healthcare services, a step the insurer described as reducing paperwork and delays experienced by patients and clinicians.

The companys insurance unit also said it will eliminate an additional 30% of remaining prior authorizations on a defined set of care types by the end of this year. Those targeted categories include select outpatient surgeries, certain diagnostic tests such as echocardiograms, and specified outpatient therapies and chiropractic care.

Tim Noel, chief executive officer of UnitedHealthcare, was quoted by the company saying: "Eliminating these requirements is one more way we are working to make it easier for patients to get the care they need when they need it and ensure doctors can spend more time with their patients."

UnitedHealthcare reported that prior authorizations are currently required for only 2% of its medical services. Of the authorizations that are submitted, the company said roughly 92% are approved, and approvals are provided in less than 24 hours on average.

Separately, the insurer noted that industry steps taken last month to standardize prior authorization processes will be incorporated into its workflow. UnitedHealthcare indicated that more than 70% of its prior authorizations will be processed through the new standardized submission channel by the end of the year.

The announced changes are framed as an operational simplification intended to reduce administrative friction for both patients and providers. The company tied the reductions explicitly to specific outpatient procedures, diagnostic categories, and therapies, and set clear timing goals for implementation by year-end.


Contextual notes: The company provided the percentages and timelines above as part of its disclosure on prior authorization practices; no additional implementation details were supplied beyond those figures.

Risks

  • Implementation timeline - The company sets year-end targets for eliminating authorizations and moving to the standardized submission process, but no further implementation details were provided.
  • Residual authorization requirements - Prior authorizations will still be required for a subset of services (currently 2% of medical services), meaning some care pathways may continue to encounter administrative steps.
  • Approval variability - While about 92% of submitted authorizations are approved in under 24 hours on average, a portion of requests remains subject to denial or delay.

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