‘It’s walking, but can it run?’ Dr. Oz talks Medicare Advantage prior auth reform, auditing goals

Becker's Healthcare October 16, 2025
Jakob Emerson

CMS Administrator Mehmet Oz, MD, discussed some of the biggest issues facing the Medicare Advantage program at an Oct. 15 industry conference. During his first nine months on the job, CMS has already overseen policy moves to streamline prior authorization processes, expand fraud oversight, and improve home health assessments.

At the Better Medicare Alliance’s MA Leadership and Policy Forum, Dr. Oz shared his overarching belief that improving MA means ensuring that the cost of providing high-quality care does not exceed the cost of fee-for-service Medicare.

“The goal of having the highest quality care for the price we pay for fee-for-service is achievable,” he said. “If we reward insurers that improve outcomes at the fee-for-service price, there’s opportunity.”

“MA is...

Today's Sponsors

Today's Sponsor