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

Dr. Alexandra Zaleta discusses how most cancer patients face prior authorization delays, despite 95% being approved, ...

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...

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 ...

The Affordable Care Act survived yet another trip to the Supreme Court. The justices quibbled over just how powerful the ...

The challenge of ensuring equitable access to life-saving treatments has become increasingly critical, particularly as ...

Ted Okon, MBA, of the Community Oncology Alliance discusses how community oncology faces a revenue crisis due to the ...

In a sector where utilisation and reimbursement are tightly linked, reduction in admin drag supports more stable, visible ...

The Centers for Medicare & Medicaid Services (CMS) has announced the launch of the Wasteful and Inappropriate Service ...

Although anti-calcitonin gene-related peptides are safe and efficacious for adolescents with chronic migraine, access to ...

An Orange County man has been charged with helping carry out a nearly $270 million Medi-Cal fraudulent billing scheme that prosecutors allege took advantage of changes to the health care program’s ...