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, ...

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 ...

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 ...

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

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

Optum Rx officials said they now have eliminated reauthorization requirements for more than 140 chronic disease medications.

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

An Orange County man has been charged with helping carry out a nearly $270 million Medi-Cal fraudulent billing scheme that ...