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Already in effect (January 1, 2026): Standard PA decisions within 7 calendar days (down from 14) Urgent PA decisions within 72 hours Specific denial reasons required on every denial (not just not medically necessary) Applies to Medicare Advantage, Medicaid managed care, CHIP, and ACA Marketplace plans Coming March 31, 2026: Payers must publicly report PA metrics for calendar year 2025: approval/denial rates, average decision times, and appeals outcomes Providers will be able to compare payer performance for the first time Coming January 1, 2027: FHIR-based Prior Authorization APIs required providers check PA requirements, submit requests, and receive decisions electronically through their EHR Expected to reduce average PA processing time from days to minutes for standard requests Medicare WISeR Model (live in AZ and WA): The Wasteful and Inappropriate Services Reduction pilot launched January 2026 in six states including Arizona and Washington

For most people, it works best as part of a bigger plan, which includes: eating balanced meals moving your body creating steady, sustainable habits Research shows that semaglutide was most effective when combined with healthy lifestyle changes

For Immediate Release April 30, 2024 - [Albany, New York] - In light of the increasing interest surrounding peptide-based weight loss solutions in our community, Dr

For years, Metformin has been the standard prescription, yet it hasnt offered me, or countless others in my shoes, the relief we so desperately need