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

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

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

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

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

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu. That’s because they’ve been denied before.

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

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 ...

Blue Cross Blue Shield of Alabama says it's reforms will provide a simpler, more efficient system for patients and doctors.

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