The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional ...

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The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

Gold Card’ programs were supposed to ease prior authorization burdens for doctors whose treatment recommendations are ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

The Senate voted to advance President Donald Trump's One Big Beautiful Bill (H.R. 1) on Tuesday, approving nearly $1 trillion ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu.

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

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

Blue Cross Blue Shield of Alabama says it's reforms will provide a simpler, more efficient system for patients and doctors.

As payers announce plans to improve prior authorizations, two spine surgeons discuss the changes that would make the most difference for them. Ask Spine Surgeons is a weekly series of questions posed ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.