Medicare Prior Authorization Changes for Beneficiaries

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   🤝Register with Ritter Insurance Marketing – the FMO that powers the Agent Survival Guide Podcast! 💌Send feedback, questions, and topic suggestions to [email protected] or call 1-717-562-7211 and leave a voicemail.   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, www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/prior-authorization-and-pre-claim-review-initiatives. Accessed 19 Oct. 2025. LeValley, Donna. “Prior Authorization Coming to Traditional Medicare Starting in 2026.” Kiplinger.Com, Kiplinger, 7 July 2025, www.kiplinger.com/retirement/medicare/prior-authorization-coming-to-traditional-medicare. Accessed 19 Oct. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance      Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel   Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.