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

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

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

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

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

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

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.

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

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

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

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

CMS announced a new experimental model to streamline prior authorizations in traditional Medicare that will target which of ...