Dr. Oz and RFK Jr. are promising to cure chronic insurance headaches — but experts say no scalpel is sharp enough to cut through ‘prior authorization’ red tape

Red tape’s breaking point

Prior authorization has long been one of the most unpopular parts of the U.S. health care system.

Despite years of promises from insurers to fix it, little has changed. At a press event on June 30, Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Medicare & Medicaid Services (CMS) administrator Dr. Mehmet Oz acknowledged that this isn’t the first time insurers have promised to streamline the process.

So what’s different now?

“There’s violence in the streets over these issues,” Oz said, referencing the 2024 killing of former UnitedHealthcare CEO Brian Thompson — a tragedy that shook the health care industry and sparked widespread outrage. The man charged with Thompson’s murder, Luigi Mangione, had long posted his struggles with insurance denials and mounting medical debt. He frequently wrote about living with chronic back pain and expressed anger over being denied the treatments he believed he needed.

A survey by the National Opinion Research Center (NORC) at the University of Chicago found that about 7 in 10 adults believe insurance denials or the profits earned by health insurance companies bear at least “a moderate amount” of responsibility for Thompson’s death.

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What’s changing

Federal health officials say the process should become faster, clearer and less frustrating by the end of the year. The Department of Health and Human Services, alongside AHIP, the main lobbying group for insurers, says the initiative includes six key changes:

• Move prior authorization online, replacing outdated systems with streamlined digital platforms.
• Cut red tape by reducing the number of services that require prior approval.
• Make approvals portable so patients don’t have to start over when they switch insurance mid-treatment.
• Boost transparency so patients and providers get timely updates on decisions and know how to appeal.
• Fast-track the routine care by granting instant approvals for common treatments.
• Require that licensed medical professionals review all clinical denials.

Still, officials acknowledge this won’t be a simple fix. Even as agencies work to reduce bureaucracy, they’re facing their own obstacles. The Trump administration and some Republican lawmakers are backing proposals that would require certain Medicaid recipients to regularly prove they are working to keep coverage.

Whether these reforms lead to meaningful relief or just more promises remains to be seen.