CMS Pilots Medicare Pre-Authorization Requirements in Six States
CMS launches a six-year pilot requiring pre-authorizations for 17 medical services in traditional Medicare across six states, aiming to control costs and reduce service overuse.
Bill Proposes Physician-Led Prior Authorization to Reduce Care Delays
The Reducing Medically Unnecessary Delays in Care Act of 2025 aims to ensure physicians make prior authorization decisions under Medicare, addressing care delays caused by non-medical reviews and insurer denials.
AUA 2025 Advocacy Priorities: Medicare Reform, Workforce, AI, and Drug Shortages
Explore the American Urological Association's 2025 advocacy priorities focused on Medicare payment reform, workforce expansion, prior authorization reforms, drug shortages, and AI integration in healthcare.
Prior Authorization Reforms and AI: Transforming U.S. Healthcare Compliance in 2025
Explore the 2024 CMS prior authorization rule and the impact of AI on healthcare administrative processes, improving compliance and patient care timelines.
Blue Cross Illinois Updates Prior Authorization Protocols
Blue Cross and Blue Shield of Illinois has updated its prior authorization requirements for Medicare Advantage and other plans. Learn about these changes and their implications.