A Major Medicare Protection Just Vanished
Key Medicare benefits are being stripped away, and patient care is being handed over to profit-driven corporations.
On June 25, 2025, in an unprecedented move, Dr. Mehmet Oz and Robert F. Kennedy Jr., through the Centers for Medicare & Medicaid Services (CMS), announced that Original Medicare will now require prior authorization for a list of 17 services.
This marks a major shift—and a serious rollback of a key protection retirees have relied on for decades.
What’s Changing?
Original Medicare was designed to give patients access to medically necessary care without a for-profit company standing between them and their doctor. If your doctor said you needed it, you got the care. No Prior Authorization.
Now, for the first time, CMS is launching a pilot program that uses third-party contractors to use prior authorization to review and approve services. These companies are paid based on how much money they save, which often means denying or delaying care.
What Services Are Affected?
So far, CMS has announced 3 of the 17 targeted services:
Knee arthroscopy for osteoarthritis
Electrical nerve stimulation devices
Skin and tissue substitutes
The remaining 14 services have not yet been disclosed.
A Move Toward Medicare Advantage Tactics
This mirrors the worst aspects of Medicare Advantage, where prior authorization is routinely used to block or delay care. One of the largest insurers, UnitedHealthcare, became infamous for their Prior Authorization strategy insiders described as:
“Deny. Delay. Defend.”
It Doesn’t Stop There
This isn’t the only rollback. The current administration also withdrew a proposal to allow Medicare to cover GLP‑1 weight-loss drugs like Ozempic, Wegovy, and Zepbound to treat obesity—a chronic condition that worsens health and drives up costs.
Covering these drugs could have improved health outcomes and reduced Medicare spending.
Why This Matters
Together, these actions represent a troubling trend:
Key Medicare benefits are being stripped away, and patient care is being handed over to profit-driven corporations.
