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.

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

The findings come amid an increasing population of older adults, a loneliness epidemic that triggers about $6.7 billion in excess Medicare spending a year, and increased alcohol use among older adults ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization ...

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

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

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.

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 ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior ...

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