The six-year WISeR Model trial begins January 2026, affecting traditional Medicare recipients seeking certain medical ...
The move has raised eyebrows among politicians and policy experts. Traditional Medicare has mostly eschewed prior ...
A CMS pilot program that would add prior authorization for some traditional fee-for-service Medicare services has come under increased scrutiny by ...
The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to increase transparency and hold participants accountable.
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
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Prior Authorization Will Be Required in Medicare in 2026
Medicare Original's historic freedom is set to change. Starting January 1, 2026, prior authorization will be required for ...
Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...
Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute bandages.
The largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older ...
Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...
Sarah Bajorek, PharmD, BCACP, assistant chief pharmacy officer for ambulatory care at UC Davis Health, discussed how the ...
The state estimated that one of its Medicaid cuts, requiring prior authorization for applied behavior analysis and opening up ...
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