Prior Authorization Reform
Prior authorization can create unecessary delays, deny access to medically necessary care, and add stress for both patients and providers.
Reform is possible - and your voice can help make that happen.
What is prior authorization?
Prior authorization is a requirement from health insurance companiesthat patients (or their providers) must get approval before a treatment, test, or medication is covered. While intended to control costs, it often creates delays, denials, and added administrative burden - even when care is medically necessary.
THE IMPACT:
95%
82%
81%
of physicians report
prior authorization
delays necessary care.
of physicians say prior
authorization can lead
patients to abandon
treatment
of appealed Medicare
Advantage denials were
ultimately overturned in 2024
The Improving Seniors' Timely Access to Care Act
H.R. 3514 / S. 1816
The Improving Senior's Timely Access to Care Act of 2025 aims to modernize and streamline prior authorization in Medicare Advantage. The legislation would establish an electronic prior authorization process, set response time standards, and increase transparency - helping ensure that seniors can access medically necessary care without unecessary delays. At Chronically Me, we want to help build the patient-led momentum needed to move this legislation forward and ensure patient experineces are part of the coversation.