CMS Launches AI For Medicare Prior Authorization Across Six States
The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.
CMS Launches AI-Driven Prior Authorization Pilot for Traditional Medicare in Washington
CMS to start AI-driven prior authorization pilot for traditional Medicare in Washington and five other states in 2026, targeting low-value procedures to reduce waste and improve compliance while maintaining clinician oversight.
CMS Launches Prior Authorization Pilot in Traditional Medicare to Control Costs
CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.
2024 Health Policy Updates: Medicaid, Medicare, Telehealth, and Administrative Reforms
An in-depth analysis of 2024 U.S. healthcare policy updates affecting Medicaid, Medicare payments, telehealth, and administrative reforms impacting medical groups and physicians.
Congressional Opposition Mounts Against CMS Medicare Prior Authorization Expansion
Congresswoman Maggie Goodlander and colleagues urge CMS to halt the proposed expansion of prior authorization in Traditional Medicare, citing risks to patient care and administrative burdens.
CMS and Insurers Launch AI-Driven Medicare Prior Authorization Reforms
CMS introduces WISeR model using AI to expedite Medicare prior authorizations while insurers enhance processes to cut waste and improve care approval speeds.
Key US Healthcare and Education Policy Updates Impacting Kansas in 2025
Overview of significant 2025 US federal policy changes affecting Medicaid, prior authorization reforms, vaccine recommendations, mental health crisis support, and education funding in Kansas.
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.