Medicare in January will begin AI-powered pre-treatment reviews for select health services in a major policy change that’s aimed at rooting out unnecessary care — but alarming providers. While the change covers only 17 treatments or procedures in a handful of states, it marks a major shift for a program that’s historically required very little prior authorization. The reviews have generated huge controversy in privately run Medicare Advantage plans and drawn backlash from patients and physicians in commercial plans, who contend the process causes administrative headaches and delays care.
Read the full article: Medicare’s Prior Authorization Has Doctors on Edge //
Source: https://www.axios.com/2025/12/23/medicare-ai-pre-treatment-review-prior-authorization-tool-doctors