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

Known as the Wasteful and Inappropriate Service Reduction (WISeR) model, it will require prior authorization for 17 services ...

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.

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

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

Artificial intelligence will soon be used for prior authorization for certain Medicare services in Texas and five other ...

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 ...

The Centers for Medicare & Medicaid Services announced today that it will launch a voluntary payment model designed to broadly reach more health care providers who have not joined accountable care ...

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 ...

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

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 ...