Sen. Cantwell urges HHS Secretary RFK Jr. to reform CMS’s AI prior authorization program amid care delays and provider burdens.
CMS has proposed a 2026 rule to extend electronic prior authorization and interoperability requirements to prescription drugs under Medicare Advantage, Medicaid, CHIP, and ACA exchange plans. The ...
Leading health plans will adopt a standardized approach for providers submitting electronic prior authorization requests for the majority of medical services, which they say will accelerate ...
1d
A new Medicare program that uses AI for prior authorizations is hurting patients and delaying care
A pilot program for Medicare that uses AI for prior authorizations has some patients waiting weeks longer to get medical procedures - if they receive care at all - and has providers facing costly new ...
Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment ...
One of the benefits of traditional Medicare is the flexibility of choosing your doctor and the ease of seeing specialists. But that could be about to change. Healthcare providers under Medicare could ...
People offered hep C care on-site at their OTP were nearly four times more likely to initiate it than those given off-site ...
Medicare Part B costs will rise in 2026. Here's what to expect, including higher prescription drug prices and payment changes ...
A deal has eluded North Carolina lawmakers on Medicaid funding since last summer. On Tuesday, their first day back in session ...
Medicaid coverage of highly effective disease-modifying therapies for MS varies widely across the U.S., with no coverage in ...
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The costly Social Security and Medicare mistakes that last a lifetime
For most folks, these programs are the most valuable retirement assets. Don't make these costly mistakes.
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