AHA pushes CMS to delay Medicare prior authorization pilot

Becker’s Hospital Review – Friday, October 24, 2025
By Elizabeth Casolo

The American Hospital Association is urging CMS to delay its Medicare prior authorization pilot — the Wasteful and Inappropriate Service Reduction initiative — by at least six months.

“This timeframe is impractical for providers and jeopardizes the administration’s goal of easing provider administrative burden associated with prior authorization,” the organization said in an Oct. 23 letter to CMS. The model is currently slated to launch in Arizona, Washington, New Jersey, Texas, Ohio and Oklahoma Jan. 1, 2026.

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