News

American Hospital Association6d
CMS announces new prior authorization program pilot
The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...
Becker's ASC3d
What’s going on with prior authorization?
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.
Becker's Hospital Review4d
CMS to add prior authorization for traditional Medicare services
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.
Los Angeles Times7d
5 takeaways from health insurers’ new pledge to improve prior authorization
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 ...
Becker's ASC1d
CMS adds prior authorization for spine, pain management Medicare services: What ASCs need to know
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 ...
Insurancenewsnet.com4d
CMS launches WISeR Model for Medicare prior authorization
The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.
MedPage Today on MSN4d
CMS to Test Prior Authorization Model in Traditional Medicare
The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior ...
Becker's Spine Review3d
CMS to add prior authorization for spine procedures in traditional Medicare
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 ...
Healthcare Dive3d
CMMI to add prior authorization for some Medicare services
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 ...
Healthcare Finance News3d
CMS launches prior authorization pilot for Original Medicare
The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...
STAT4d
The future of free preventive care, and prior authorization in Medicare
In this week's Health Care Inc. newsletter: The future of preventive care, UnitedHealth's Medicare Advantage pullback, and more.
Axios on MSN6d
Traditional Medicare to add prior authorizations
Medicare is requiring more pre-treatment approvals in its fee-for-service program in a bid to root out unnecessary care, ...