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.

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.

Officials said they had "identified suspicious activity related to unauthorized creation of certain beneficiary online ...

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 ...

Updated June 4, 9:30 a.m. The Centers for Medicare and Medicaid Services plans to undertake several new health tech initiatives, senior leaders announced today at a closed meeting with stakeholders.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...

MADISON, Wis., June 9, 2025 /PRNewswire/ -- Superior Health Quality Alliance (Superior Health) is proud to announce it has been awarded a 13th Scope of Work (SOW) by the Centers for Medicare ...

On June 2, 2025, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) published ...

Each year, between December and January, Medicare will send you the 1095-B form if you’ve had Medicare Part A coverage for at least a portion of the calendar year. Although you may continue to ...