Mini-Post: Buried In Paperwork

Hey! Guess what Trump & Company is doing... adding tons of paperwork to Medicare! Just like insurance companies do!

Medicare Shake-Up: 4 Things to Know About Prior Authorization Starting 2026

You can expect extra paperwork, delays, and even denial. How can you prepare?

Money Talks News

Kendall Blythe 

August 29, 2025

For decades, Original Medicare (sometimes called Traditional Medicare) has been known for its simplicity.

Beneficiaries rarely needed prior authorization before receiving care, unlike those enrolled in Medicare Advantage plans. That is about to change.

Starting January 1, 2026, the Centers for Medicare and Medicaid Services (CMS) will introduce a new pilot prior authorization program in select states. Here’s what you should know about how it could affect you.

All of you out there who voted for Trump, are you happy now?

1. The changes start in six states

The new prior authorization requirements will be piloted in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington.

2. Seventeen services will be affected

CMS has identified 17 services it says are especially vulnerable to fraud, waste, or abuse. Beginning in 2026, these will require prior authorization under the new model...

3. The program will run through 2031

CMS plans to run the program through December 31, 2031, under what it calls the Wasteful and Inappropriate Service Reduction (WISeR) Model. This gives the agency six years to evaluate whether stricter controls on certain services reduce costs and prevent fraud.

4. Technology will support reviews but not replace clinicians

CMS plans to use advanced tools such as artificial intelligence and machine learning to streamline the review process. These technologies are designed to speed up requests and cut down on unnecessary paperwork.

So are you happy now?

You do know why he is doing this? It is so when they privatize it and turn it over to the billionaire friend you will be grateful!