CMS will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year. New Jersey, Ohio, Oklahoma, Texas, Arizona, and ...

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

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

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

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

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 ...

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...