Payer requirements are constantly changing, while the information that organizations need to respond to those changes can be scattered and difficult to pull together.
UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, 2026, the insurer will no longer require approval for more than 1,700 procedure codes across various plans.
Beginning in 2027, services for antepartum care, labor management, delivery, and postpartum care will be coded separately. The old global approach to billing obstetric care was intended to simplify billing, but it no longer reflects the variation and complexity of care across the phases of pregnancy.
A healthcare organization can terminate a vendor contract, disable accounts, shut down integrations, and move on to another technology provider. The information entrusted to that vendor, however, may not leave with the contract.
