‘Make money by denying care’: new US rules aim to curb use of approval by private health insurances | Biden administration
The Biden administration has announced new regulations aimed at speeding up the approval process for private health insurance companies, requiring them to make decisions within 72 hours for urgent requests. The rules, mainly set to take effect in 2026, will also oblige insurers to provide specific reasons for denials and publicly report denial rates. However, the rules will only apply to companies working with federal programs like Medicare, Medicaid and individual insurance exchanges, impacting around 105 million people but excluding the 158 million Americans who rely on insurance from their employer. Critics argue that the regulations do not go far enough and still allow insurers to profit from denying care.
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