Major U.S. health insurers, including UnitedHealthcare, CVS Health's Aetna, Cigna, Blue Cross Blue Shield, and Humana, have pledged to streamline and reduce the scope of prior authorization requirements to address delays and complications in patient care. These insurers represent about 75% of covered Americans and have committed to speeding up the prior authorization process, with goals such as expanding real-time responses and providing decisions within one business day for the majority of requests. Under pressure from the Trump administration and federal health officials, the industry has agreed to implement reforms affecting Medicare Advantage, Medicaid, and commercial plans. Humana announced plans to eliminate approximately one-third of prior authorization requirements for outpatient services by January 1, 2026, covering diagnostic procedures like colonoscopies, transthoracic echocardiograms, and select CT and MRI scans. The insurers have collectively promised to improve coverage reviews and reduce administrative burdens, aiming to make prior authorization quicker and less cumbersome for patients and providers. Despite previous unfulfilled promises, this renewed commitment includes six key reforms intended to cut red tape and facilitate faster access to care.