AHIP

The Trump administration's 2025 pledge to reduce prior authorization barriers in healthcare has faced criticism as insurers delay full implementation, while patients and advocates report little improvement. AHIP claims 6.5 million prior authorizations were eliminated, but critics call the pledge 'performative' and lacking enforcement. A House committee recently advanced a bill to mandate transparency in Medicare Advantage prior authorization processes.

New billing codes effective January will shift maternity care payments from bundled to à la carte, supported by OB-GYNs for better reflecting care complexity but raising concerns about increased patient costs and insurance implementation challenges.