Medicare to Pilot AI for Automating Prior Authorization Process
Medicare launches AI-driven pilot program to automate prior authorization, improving decision efficiency in health insurance coverage approvals.
CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care
CMS launches the ACCESS Model, a 10-year initiative to enhance chronic disease management for Medicare beneficiaries through technology and outcome-based payments.
CMS Announces ACCESS Model to Test Outcome-Payment Approach for Tech-Driven Chronic Care
CMS launches the ACCESS Model to link Medicare payments to clinical outcomes, expanding technology-supported care for chronic disease management starting July 2026.
AMA Advances U.S. Healthcare Policy to Reduce Physician Burden and Support Digital Health
Explore AMA's advocacy on Medicare prior authorization reform, FDA's TEMPO pilot for digital health, CMS policy challenges, and proposed HIPAA cybersecurity updates impacting U.S. healthcare providers.
CMS Launches WISeR Model to Enhance AI-Driven Prior Authorization in Medicare
CMS introduces the WISeR Model in six states to optimize prior authorization using AI, aiming to reduce low-value services and Medicare costs starting 2026.
UnitedHealth Group Raises Premiums and Earnings Guidance Amid Medicare Pressures
UnitedHealth Group increases premiums by 20-30% and raises 2025 earnings guidance despite Medicare pressures and DOJ scrutiny, signaling efforts to stabilize margins and adapt to regulatory challenges in the U.S. insurance market.
CMS Final Rule on Home Health Payments for 2026 Reflects Industry Advocacy
CMS's CY 2026 Home Health Prospective Payment System Final Rule incorporates industry advocacy, easing payment cuts but challenges remain amid rising costs and evolving Medicare Advantage models.
CMS Launches ACCESS Model Testing Outcome-Based Payments for Chronic Care
CMS launches the ACCESS Model, a 10-year test of outcome-aligned payments for Medicare FFS chronic care using technology-supported services, enhancing care coordination and quality outcomes.
Hospital Margins Stabilize Amid Rising Volumes and Site-Neutral Payment Challenges
September 2025 data shows stabilizing hospital margins with increasing patient volumes. Site-neutral payment policies and AI-driven documentation shifts impact reimbursement and operations.
GE HealthCare Services Enhance Biomedical Equipment Performance and Readiness
Explore GE HealthCare's services for maintaining biomedical equipment to ensure peak performance and readiness in healthcare settings.