CVS Health, through its Aetna unit, has standardized 88% of its prior authorization volume, joining UnitedHealth in a joint effort to streamline the process. The move, announced on April 24, 2026, aligns data and submission requirements across more than half of the authorizations handled by both insurers.
Prior authorization has long been a source of administrative burden for providers and delays for patients. By adopting a common set of data standards, the two companies aim to cut paperwork, speed approvals, and improve transparency. UnitedHealthcare plans to reach over 70% coverage of its volume by the end of 2026, while Aetna already exceeds the industry target.
The initiative is part of a broader industry pledge to reduce red tape. Aetna President Steve Nelson said, "Prior authorization should enable care, not delay it. We're modernizing the process with speed, transparency, and clinical judgment to benefit everyone we serve." UnitedHealthcare CEO Tim Noel added, "These changes help care providers and patients save time and money and set the stage for a more seamless electronic experience, and our work will continue as we pursue a modern, touchless authorization process."
Operationally, the standardization is expected to lower administrative costs for both insurers and their provider networks. For CVS Health, the improvement supports its strategy to strengthen the integrated care model that combines pharmacy, PBM, and health services. The reduction in paperwork is also likely to enhance member satisfaction, a key driver of retention and competitive positioning in the PBM and health plan markets.
The move comes amid growing scrutiny of prior authorization practices and a push from regulators and professional societies to streamline workflows. By addressing a long‑standing pain point, CVS Health and UnitedHealth position themselves as leaders in care coordination, potentially translating into cost savings and margin stability over the long term.
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