Medicare Will Require Prior Approval for Certain Procedures

No.
Just no.
This practice is detrimental to patient care. It is ridiculously burdensome to practices.
#priorauths slow care
#medicare

www.nytimes.com/2025/08/28/h...

Talking with one of my MDs on Monday about peer-to-peer calls. He recalled an absolute gem from last year where the Dr refused to get on the phone and just told his PA to say it didn't matter what he said the answer was going to be no.
#priorauths #denials #insurance #nephsky

For patients and doctors, insurance prior authorization can be a dangerous game | Opinion Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.

Also ...

* In resrch, #PriorAuths were associated w/uncontrolled pain, ER visits & hosp stays
* In 2019, a govt audit found >1 of 6 denials by Medicare Advantage plans were inappropriate & sh/have been covered

It's not a game. Denials can = death 4 pts. #cansky
www.usatoday.com/story/opinio...