Becker's Healthcare November 12, 2025
From lawmakers seeking to halt an upcoming Medicare pilot to BCBS of Alabama and physicians outlining shared commitments, here are six updates on prior authorization that Becker’s has reported since Oct. 8:
1. Six Democratic House representatives introduced legislation to stop the upcoming Medicare prior authorization pilot, the Wasteful and Inappropriate Service Reduction model.
2. Over the next several months, health plans, health systems, policymakers and patients led by Baltimore-based Johns Hopkins will begin addressing prior authorization as part of a convening group.
3. CMS said Cohere Health, Genzeon Corp., Humata Health, Innovaccer, Virtix Health and Zyter will participate...
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