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

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.

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

Some spine procedures that are traditionally fee-for-service Medicare cases will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is ...

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 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 is expected to be arraigned July 17 for his alleged role in a health-care fraud scheme in which nearly $270 million in bogus claims were submitted to Medi-Cal for expensive ...

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 ...

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.