The Center for Medicare and Medicaid Innovation (CMS) has officially announced which producers will require prior ...
A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.
A new Medicare pilot using prior authorizations in six states sparks debate. Critics warn it could delay care for seniors, ...
Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...
The AHA Oct. 23 recommended changes to the CMS' Wasteful and Inappropriate Services Reduction model to address multiple concerns. The model is designed to use technology-enabled prior authorization to ...
In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...
Notable healthcare policies taking effect in 2026 will reshape hospital operations, reimbursement, insurance markets and patient access nationwide.
As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...