The AMA’s Patients Action Network keeps you updated on critical health care measures pending in U.S. Congress, government agencies, and in the media. Join PAN to make your voice heard!https://bsky.app/profile/patientsactionnetwork.comhttps://bsky.app/profile/patientsactionnetwork.com/post/3mzgsc75bes2vNew AMA analysis shows the four largest PBMs collectively have a 73% share of the national retail pharmacy network management and prescription claims adjudication markets. Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY03 Nov 2026 21:37 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mzgsc75bes2vhttps://bsky.app/profile/patientsactionnetwork.com/post/3myzh2zcknc2iMedicare payment challenges can have consequences for patients and physicians alike. In a letter to the editor in the Boston Herald, Dr. Daniel Solomon discusses these challenges and explains his support for the Provider Reimbursement Stability Act. https://www.bostonherald.com/2026/10/12/letters-to-the-editor-803/29 Oct 2026 14:11 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3myzh2zcknc2ihttps://bsky.app/profile/patientsactionnetwork.com/post/3myxmyhsgi22dNew AMA analysis shows the 69% of PDP lives are covered by an insurer that is vertically integrated with a PBM in 2024. Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY28 Oct 2026 20:52 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3myxmyhsgi22dhttps://bsky.app/profile/patientsactionnetwork.com/post/3myuieop4zc2eMedicare physician payment reform has a direct impact on patients' access to care. In a recent Roll Call article, former Congressman Dr. Michael Burgess explains why sustainable Medicare payments matter for patients and their physicians. Read his perspective: https://rollcall.com/2026/10/23/heres-how-congress-can-reassert-its-advocacy-for-medicare-patients/27 Oct 2026 14:51 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3myuieop4zc2ehttps://bsky.app/profile/patientsactionnetwork.com/post/3mys6c6krgc2nMedicare physician payment instability raises important questions about the long-term sustainability of practices and patients' access to care. Read more from a leader in patient advocacy about the proposed reforms, including the Patients First Act. https://www.thewellnews.com/opinions/patients-pay-the-price-when-medicare-shortchanges-their-doctors/26 Oct 2026 16:45 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mys6c6krgc2nhttps://bsky.app/profile/patientsactionnetwork.com/post/3myi6bmfz4s2bHalloween is scary. So are prior authorizations delaying or denying patient care. Join us in our effort to #FixPriorAuth: bit.ly/4i3vKRX22 Oct 2026 17:18 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3myi6bmfz4s2bhttps://bsky.app/profile/patientsactionnetwork.com/post/3myfzyjad5c2rNew AMA analysis shows 94% of pharmacy benefit manager (PBM) markets were highly concentrated in 2024. Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY https://bit.ly/4yZMpwY21 Oct 2026 20:56 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3myfzyjad5c2rhttps://bsky.app/profile/patientsactionnetwork.com/post/3myd25dwnfk2aIt’s IN the computer. Under CMS-0057-F, your Electronic Health Records (EHR) should be able to check if prior auth is needed, pull the paperwork and submit it. No fax, no phone tag, no payer portals. #FixPriorAuth Beginning Jan 1, 2027 it’s all in the EHR! Ask your vendor now.20 Oct 2026 16:21 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3myd25dwnfk2ahttps://bsky.app/profile/patientsactionnetwork.com/post/3my3eimdxjc26You're comparing premiums. You're checking deductibles. But are you asking how many hoops you'll have to jump through to get care? One question many employees never think to ask: How does this plan use prior authorization? Learn more: bit.ly/4ehPxMh #FixPriorAuth https://bit.ly/4ehPxMh17 Oct 2026 15:05 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3my3eimdxjc26https://bsky.app/profile/patientsactionnetwork.com/post/3mxzfhukyts2hMedicare Open Enrollment started this week. In 2024, @kff.org revealed that Medicare Advantage plans denied 4.1 million prior auth requests. Only about 1 in 9 denials was appealed — and roughly 4 in 5 appeals won. Know your plan. Appeal denials. #FixPriorAuth16 Oct 2026 20:17 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mxzfhukyts2hhttps://bsky.app/profile/patientsactionnetwork.com/post/3mxw6wnkmks2oWhen you review your health benefits, ask about more than cost. Ask your employer: ✅ Does this plan require prior auth? ✅ For what services? ✅ How often are requests denied or delayed? The right coverage should help you get care, not stand in the way of it. #FixPriorAuth Read more: bit.ly/3U5nVDl https://bit.ly/3U5nVDl15 Oct 2026 13:42 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mxw6wnkmks2ohttps://bsky.app/profile/patientsactionnetwork.com/post/3mxhkhljfr22jWhen insurers delay medically necessary care, the consequences can be devastating. This heartbreaking story is a reminder that prior authorization and other coverage barriers are more than administrative hassles. Patients' lives are at stake. #FixPriorAuth bit.ly/3VCs9CQ https://bit.ly/3VCs9CQ09 Oct 2026 17:59 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mxhkhljfr22jhttps://bsky.app/profile/patientsactionnetwork.com/post/3mxcjbydh422jWhen a handful of PBMs collectively hold a large share of the market, patients can face higher costs and fewer choices. (1/2)07 Oct 2026 17:54 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mxcjbydh422jhttps://bsky.app/profile/patientsactionnetwork.com/post/3mwehmwd3hs2qICYMI: Lawmakers discussed the Patients First Act in the @housecommerce.bsky.social. "The bipartisan enthusiasm [at the hearing] showed how support in Congress for a permanent Medicare payment redesign is growing," Capstone analyst Will Humphrey wrote in a note. https://www.statnews.com/2026/09/24/patients-first-act-congress-moves-on-doctor-pay-medicare-reform/?utm_campaign=morning_rounds&utm_medium=email&_hsmi=440620601&utm_content=440620601&utm_source=hs_email25 Sep 2026 19:05 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mwehmwd3hs2qhttps://bsky.app/profile/patientsactionnetwork.com/post/3mw5eejbsh22fWithout the Patients First Act, “medical practices face pressure to cut services and treatments, stop accepting new patients, or close their doors entirely when reimbursements fall significantly below costs,” from @wenatcheeworld.bsky.social. https://www.wenatcheeworld.com/opinion/opinion-protecting-health-in-washington-starts-with-supporting-physicians/article_6f86ec22-1a33-4670-974c-56c958cad4d4.html22 Sep 2026 23:18 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mw5eejbsh22fhttps://bsky.app/profile/patientsactionnetwork.com/post/3mw5edvapsc2f1 in 5 physicians are expected to retire, and in rural Minnesota, the figure is close to 1 in 3. This would have a negative impact on patient access and reaffirms the need to #FixMedicareNow. From @startribune.com. https://www.startribune.com/us-medicare-cuts-one-big-beautiful-bill-act-physician-shortage/60188947322 Sep 2026 23:17 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mw5edvapsc2fhttps://bsky.app/profile/patientsactionnetwork.com/post/3mvnsqvuq622jWant to get more involved? Learn more about advocacy below. https://patientsactionnetwork.com/advocacy-hub?utm_medium=organic&utm_source=bluesky&utm_campaign=panorganic&utm_content=organic16 Sep 2026 18:53 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mvnsqvuq622jhttps://bsky.app/profile/patientsactionnetwork.com/post/3mvaqs2ueks2o"My husband's cancer didn't wait. Our insurance company did." Stories like this highlight the real-world harm caused by unnecessary delays in care and why policymakers must act to reform prior authorization. #FixPriorAuth bit.ly/46QfK0k https://www.nj.com/opinion/2026/08/my-husbands-cancer-didnt-wait-our-insurance-company-did.html?utm_campaign=mrf-twitter-NJ_Opinion&utm_source=twitter&utm_medium=social&mrfcid=202608316a957f355163c67bd7258df211 Sep 2026 14:13 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mvaqs2ueks2ohttps://bsky.app/profile/patientsactionnetwork.com/post/3mvaqr7vdes2oNew @KFF data: 67% of appealed Medicare Advantage PA denials were overturned. 47% in Medicaid managed care. 43% in ACA Marketplace plans. If patients and physicians have to appeal first to get the right answer, then the problem is the process. bit.ly/46P5V2F https://www.kff.org/patient-consumer-protections/prior-authorization-metrics-provide-new-insights-into-insurer-practices-but-gaps-remain/?_sp=d4dc3b89-0992-4294-bee3-2bb6d77654a6.178820756097811 Sep 2026 14:12 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mvaqr7vdes2ohttps://bsky.app/profile/patientsactionnetwork.com/post/3mvaqq35zys2o95% of physicians say prior authorization delays necessary care, and nearly 8 in 10 report patients abandon treatment because of authorization hurdles. Pass the Improving Seniors' Timely Access to Care Act. Learn more here. #FixPriorAuth bit.ly/4h3GEXq https://www.ama-assn.org/about/leadership/delays-reforming-medicare-prior-auth-harm-patients11 Sep 2026 14:12 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mvaqq35zys2ohttps://bsky.app/profile/patientsactionnetwork.com/post/3mv6dzu6qmk2yS. 5180 takes a major step in modernizing Medicare physician payment and your Senators need to hear from you! Click the link below to share how Medicare reform helps you. https://patientsactionnetwork.com/action-center?vvsrc=%2fCampaigns%2f138998%2fRespond10 Sep 2026 15:19 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mv6dzu6qmk2yhttps://bsky.app/profile/patientsactionnetwork.com/post/3mv4eqi7tik2uUnsure of where to start or how to continue your advocacy? Check out our Advocacy Hub to learn how to stay engaged. https://patientsactionnetwork.com/advocacy-hub?utm_medium=organic&utm_source=twitter&utm_campaign=panorganic&utm_content=organic09 Sep 2026 20:27 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mv4eqi7tik2uhttps://bsky.app/profile/patientsactionnetwork.com/post/3mv4d4sz2t22tEvery patient deserves the medication they need. Learn how the AMA is fighting prior authorization, and how your stories can help. #FixPriorAuth bit.ly/4j5vIrR [contains quote post or other embedded content]09 Sep 2026 19:58 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mv4d4sz2t22thttps://bsky.app/profile/patientsactionnetwork.com/post/3mupct3dvyc2tGina is not alone. 79% of physicians report that prior authorization can at least sometimes lead to patients abandoning treatment. It doesn't have to be like this #FixPriorAuth04 Sep 2026 15:48 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mupct3dvyc2thttps://bsky.app/profile/patientsactionnetwork.com/post/3munbgcvrg22tWith Medicare cuts, “Many physicians have stopped accepting new patients with certain Medicare plans, exacerbating the healthcare access crisis,” Patients Rising says in @wsj.com. https://www.wsj.com/opinion/medicares-below-market-reimbursement-rates-7a11738d?st=W2mYUa&reflink=desktopwebshare_permalink03 Sep 2026 20:17 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3munbgcvrg22thttps://bsky.app/profile/patientsactionnetwork.com/post/3mukpis67yc2aWith another push for $100K+ H-1B visa fee, Congress needs to hear how the proposal can negatively impact patients’ healthcare access. https://patientsactionnetwork.com/action-center?vvsrc=%2fcampaigns%2f137042%2frespond02 Sep 2026 19:51 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mukpis67yc2ahttps://bsky.app/profile/patientsactionnetwork.com/post/3mu3kvjedis2eRobert, like many patients, is ready for change. Share your story to help #FixPriorAuth. bit.ly/4jzcsCO27 Aug 2026 19:19 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mu3kvjedis2ehttps://bsky.app/profile/patientsactionnetwork.com/post/3mtz5f4wxzs2kYour voice is needed to make changes in health care policy. Learn how in the link below. bit.ly/3N6qTDH26 Aug 2026 20:12 +0000at://did:plc:d5ypirqzcyxe3o7qw2kmgpb4/app.bsky.feed.post/3mtz5f4wxzs2k