Medicare prior authorization changes you will notice in 2026

Starting in 2026, Medicare Advantage and Medicaid plans must make faster decisions on prior authorization requests. Routine requests must be decided within seven days, urgent ones within 72 hours, and plans must clearly state the reason for any denial. By March 31, 2026, you’ll also be able to view each plan’s approval and denial metrics […]
Understanding Medicare IRMAA Charges

Most every year Medicare adjusts the monthly premium for Medicare Part B. You will probably hear about premium changes in the news, talking with friends or even from me around November of each year. You will also receive your Social Security benefit notice in late November or early December, showing you what your benefit payment […]
Medicare Premiums Increases for 2022

Each year Medicare adjusts its premiums and utilization costs for the upcoming year. These adjustments are published by Medicare towards the end of the calendar year and are effective January 1st of the upcoming year. While you can find these costs and premiums on Medicare.gov, you will need to peruse the website significantly to gather […]