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UnitedHealthcare Reduces Most Prior Approvals For Pediatric Patients

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Key summary

2 min read
  1. UnitedHealthcare will cut about two-thirds of prior authorization requirements for members under 18 by year-end.

  2. The change covers many diagnostic services, routine surgeries, and pediatric specialty care in commercial and Medicaid plans.

  3. Some procedures at selected pediatric hospitals will also get waivers, while higher-complexity and experimental care will still need review.

  4. The move could reduce delays for families and clinicians without removing oversight for riskier care.

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