Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

Opioid addicts covered by Medicare and Medicaid are less likely to receive the mental health and substance use treatment that ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

House Republicans propelled President Donald Trump's big multitrillion-dollar tax breaks and spending cuts bill to final ...

The post Letter: What we have requested from our legislators appeared first on Houston Herald. As healthcare reimbursement ...

CMS will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year. New Jersey, Ohio, Oklahoma, Texas, Arizona, and ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

Dive Brief: The CMS will test a new model beginning next year that adds prior authorization requirements to some Medicare services that the government says are prone to abuse. The initiative is ...

In about a one-week span, the Department of Health & Human Services (HHS) and the Centers for Medicare & Medicaid Services ...