Industry
Centene Adds Prior Authorization Gold Card Program
Centene has launched a gold card program that waives prior authorization requirements for providers who meet certain performance criteria, joining a growing list of insurers adopting similar policies. The move comes amid broader momentum from states and the Trump administration pushing for prior authorization reform across the industry. High-performing providers participating in the program would see reduced administrative burden and faster patient access to care. Specific effective dates, qualifying criteria, and the scope of services covered were not detailed.
Why it mattersProviders in Centene's network, including its Medicaid managed care plans, may see reduced administrative burden and faster care approvals, while the move signals mounting pressure on insurers industry-wide to curb prior authorization practices.