Universal HealthcareBy NextBestFit
Phase 1: Enactment & build · Step 1.10

Create the Health Technology Assessment Institute

Months 0–18; continuous · HTA Institute (independent, within HHS)Discuss this step
← All system changes for this step

Prior authorization & utilization management

replacedYear 1Provider payment & regulation
Today

Payer-specific rules; major administrative burden.

Under the plan

Replaced by evidence-based national coverage rules from the HTA Institute, with narrow prior review only for listed high-risk services.

Trade-off

Less burden; less case-by-case policing of low-value care.