How Trump’s ‘Prior Authorization’ Deal Puts Patients Ahead of Paperwork

Speeding up insurers’ authorization process will deliver care more quickly and cut down on unnecessary red tape.

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Americans increasingly need a permission slip from their insurance company before they can get medical care. And it’s driving them crazy. According to one recent survey, nearly three-quarters of patients find delays and denials of treatment by insurers to be a major problem with our health-care system.

Fortunately, a new federal initiative may address their concerns. The Trump administration recently struck a deal with insurers to streamline “prior authorization,” whereby patients and doctors must secure approval for certain treatments before an insurer will pay for them. The effort could meaningfully reduce delays for patients, while avoiding the Obamacare-style mandates that have catalyzed an affordability crisis in the insurance market.

Sally C. Pipes

About the Author

Sally C. Pipes

Sally C. Pipes is president, CEO, and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. Her latest book is The World’s Medicine Chest: How America Achieved Pharmaceutical Supremacy — and How to Keep It (Encounter 2025). Follow her on X @sallypipes.

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