This week’s Medicare updates include new condition tracks for the ACCESS Model, information on Health Professional Shortage Area bonuses for 2027, and more!
Payer requirements are constantly changing, while the information that organizations need to respond to those changes can be scattered and difficult to pull together.
UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, 2026, the insurer will no longer require approval for more than 1,700 procedure codes across various plans.
CMS recently launched the Medicare GLP-1 Bridge, a short-term demonstration that provides eligible Part D beneficiaries with access to certain glucagon‐like peptide‐1 (GLP-1) drugs for $50 per month.
