Humana's Leadership Change: Strategic Impacts on Medicare Advantage
Humana's leadership shift signals major strategic changes in Medicare Advantage and healthcare regulations. Discover the implications for the insurance industry.
Curitics Health Solutions Names John Gorman Executive Advisor to Boost AI-driven Healthcare Tech
Curitics Health Solutions appoints John Gorman as Executive Advisor to advance AI-driven healthcare technology focused on Medicare Advantage, Medicaid, and value-based care.
FlyteHealth Recognized by CMS for Cardio-Kidney-Metabolic Care Ahead of Medicare ACCESS Model
FlyteHealth is featured by CMS for cardio-kidney-metabolic disease management as part of the upcoming 10-year Medicare ACCESS Model starting in 2026, showcasing scalable virtual care solutions for chronic conditions.
Basys.ai Named CMS National Finalist for AI-Driven Fraud Detection in Medicare
Basys.ai recognized by CMS as a national finalist in the Crushing Fraud, Waste, and Abuse Challenge for its AI-powered prior authorization platform improving Medicare fraud detection and healthcare affordability.
Insights into Evolving Medicare Physicals and Preventive Health Procedures
Explore the latest practices in Medicare annual physical exams, including cognitive tests, physical assessments, immunizations, and patient perspectives on digital health tools and preventive care.
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.