News

Becker's Hospital Review4h
CMS to add prior authorization for traditional Medicare services
CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...
InsuranceNewsNet5h
CMS launches WISeR Model for Medicare prior authorization
The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.
MyChesCo on MSN11h
CMS Launches WISeR Model to Streamline Medicare Prior Authorization
The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization ...
Axios on MSN2d
Traditional Medicare to add prior authorizations
Medicare is requiring more pre-treatment approvals in its fee-for-service program in a bid to root out unnecessary care, ...
American Hospital Association2d
CMS announces new prior authorization program pilot
The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...
Pew Research Center3d
What the data says about Medicaid
In fiscal 2023, the most recent year for which detailed financial information is available, Medicaid’s net cost was $894.2 ...
5 takeaways from health insurers’ new pledge to improve prior authorization
The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.
Health Affairs6d
Transforming Medicare’s Payment Systems: Progress Shaped By The ACA
The Financial Alignment Initiative for Medicare-Medicaid Enrollees targets dual enrollees and consists of a capitated model that provides prospective payment for coordinated care. 9 CMMI has also ...