Episode Details

CMS plans to simplify prior authorization for Medicare beneficiaries beginning in 2026. Listen to learn more about changes coming to Medicare Advantage and Original Medicare!

 

Read the text version

 

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Resources:

4 Reasons Why Ritter Insurance Marketing Should Be Your FMO Insurance Agency

5 Medicare Myths Your Clients May Believe

16 Ways to Generate Medicare Leads (That You Probably Haven’t Tried Yet!)

Content Library: Mastering Medicare Insurance Coverage ft. Jeff Snyder

How Storytelling Helps Agents Quickly Connect with Clients ft. Don Connelly

 

References:

“HHS Secretary Kennedy, CMS Administrator Oz Secure Industry Pledge to Fix Broken Prior Authorization System.” HHS.Gov, U.S. Department of Health and Human Services, 23 June 2025, www.hhs.gov/press-room/kennedy-oz-cms-secure-healthcare-industry-pledge-to-fix-prior-authorization-system.html. Accessed 19 Oct. 2025.

“Health Plans Are Making Voluntary Commitments to Support Patients And Providers” AHIP.Org, www.ahip.org/health-plans-are-making-voluntary-commitments-to-support-patients-and-providers. Accessed 19 Oct. 2025.

“Health Plans Take Action to Simplify Prior Authorization - AHIP.” AHIP.Org, www.ahip.org/news/press-releases/health-plans-take-action-to-simplify-prior-authorization. Accessed 19 Oct. 2025.

Ochieng, Nancy, et al. “Medicare Advantage in 2025: Premiums, out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization.” KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-advantage-premiums-out-of-pocket-limits-supplemental-benefits-and-prior-authorization/. Accessed 19 Oct. 2025.

“Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model.” FederalRegister.Org, www.federalregister.gov/public-inspection/2025-12195/medicare-program-implementation-of-prior-authorization-for-select-services-for-the-wasteful-and. Accessed 19 Oct. 2025.

“Prior Authorization and Pre-Claim Review Initiatives.” CMS.Gov, Centers for Medicare and Medicaid Services,