Improving Medicare Authorization Process
Official: Improving Seniors’ Timely Access to Care Act of 2025
This bill updates how Medicare Advantage plans handle prior authorization, making the process faster and more transparent for patients and providers. It aims to improve access to care for seniors by reducing delays in getting necessary services approved.
1. This bill requires Medicare Advantage plans to use electronic prior authorization. 2. Plans must meet new transparency standards starting in 2027. 3. The electronic system will streamline requests and responses between providers and plans. 4. It aims to protect enrollees by ensuring timely access to necessary services. 5. These changes will take effect in phases starting in 2027 and 2028.
Seniors enrolled in Medicare Advantage plans and their healthcare providers will be directly impacted by these changes.