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

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.

CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...

Known as the Wasteful and Inappropriate Service Reduction (WISeR) model, it will require prior authorization for 17 services that are currently covered by Medicare. In other words, health care ...

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

The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. | The Trump administration has unveiled yet another new payment model, this one ...

CMS issues Medicaid work requirements: most adults must report 80 hours monthly of qualifying activities to keep healthcare ...

The Trump administration has revealed what comes next when the ACO REACH model concludes at the end of 2026. | The Trump ...

WASHINGTON, DC - APRIL 25: Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure participates in the American Hospital Association's annual membership meeting at the Marriott ...

The federal agency that operates Medicare, the Centers for Medicare & Medicaid Services, is finally recognizing what people have known for, well, thousands of years: Family members are the bedrock of ...