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Medicare's prior authorization has doctors on edge

Medicare's prior authorization has doctors on edge

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.

Press

December 23, 2025

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.

Why it matters: 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.

Read the full article here