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 ...

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 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.

Prior authorization isn’t going anywhere. Health insurers will still be allowed to deny doctor-recommended care, which is arguably the biggest criticism that patients and providers level against ...

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

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut funding for what it deems medically unnecessary care. Published July 1, 2025 By ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...

Medicare is requiring more pre-treatment approvals in its fee-for-service program in a bid to root out unnecessary care, ...

In this week's Health Care Inc. newsletter: The future of preventive care, UnitedHealth's Medicare Advantage pullback, and more.

The Centers for Medicare and Medicaid Services has announced a prior authorization program pilot for original Medicare. The six-year voluntary Wasteful and Inappropriate Service Reduction Model (WISeR ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior authorization to some services covered by Medicare fee-for-service. “While ...