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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 ...
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 ...
Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...
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.
The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.
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MedPage Today on MSNCMS to Test Prior Authorization Model in Traditional MedicareThe Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior ...
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Axios on MSNTraditional Medicare to add prior authorizationsMedicare is requiring more pre-treatment approvals in its fee-for-service program in a bid to root out unnecessary care, ...
The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.
Prior authorization was initially designed to improve care by preventing unnecessary or unsafe treatments. But in its current form, it has become a barrier that disproportionately impacts the ...
Critics cite costs of prior authorization reform as a concern, but the data is not on their side. The Center for Medicare & Medicaid Services reformed its prior authorization practices and ...
“In 2023, we removed codes accounting for nearly 20% of our overall prior authorization volume, and last year we implemented a first-of-its-kind gold card program for qualifying providers.” ...
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