E905 - Ep. 904 - PRIOR AUTHORIZATION; causing misery for sick people under MA, comes to Original Medicare!
Published: January 24, 2026
Duration: 39:03
MEDICARE ADVANTAGE MINUTE: CMS (THE FEDERAL GOVERNMENT) TIGHTENS MEDICARE ADVANTAGE PRIOR AUTHORIZATION RULES!
Before that we discuss the qualities of certain members of England's Royal Family.
January 1st saw a pilot program begin, creating prior authorization requirements for a few procedures performed under Original Medicare in six states. The program will be testing whether enhanced technologies like AI and machine learning can streamline prior authorizations and medical reviews.
New, soon-to-be-client Sheryl, is taking a very cerebral approach to the concept of Medicare supplement rate stability. She discovered a site called: SERFF.com and is trying to identify those Medicare supplement plans with less rate stability, whi...