Prior Authorization Reform: 2025 Could Be A Year Of Changes

Prior authorization reforms could emerge as an important under-the-radar area of drug policy next year. An upcoming Medicare proposed rule, the extraordinary uptake of weight loss therapies, and the launch of the overhauled Part D benefit design will all drive attention to the issue.

Prior authorization
CMS wants to streamline prior authorization for drugs in Medicare and ACA exchange plans. • Source: Shutterstock

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