A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

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.

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

Medicare isn't a "set it and forget it" program. Coverage that worked well one year may not be so great in others. Changes ...

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 ...

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 ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

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 ...

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 ...