The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...
A new federal pilot program is changing how some seniors access healthcare under traditional Medicare. As of January 1, 2026, ...
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 ...
Older men play cards in a park in New York City's Chinatown in 2024. Medicare, the public health insurance for older Americans, is piloting a new prior authorization program powered by artificial ...
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Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid Services (CMS) trials its much-discussed “Wasteful and Inappropriate Service ...
While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...
Medicare enrollees in Texas will soon be required to get prior authorization for certain medical services – and artificial intelligence will play a central role in those decisions. Beginning Jan. 1, a ...
The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health care services, to Traditional Medicare. The government plans on using ...
Seniors tend to use more medical care than most, which is why access to Medicare is so important for retirees. While Medicare ...
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