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 ...

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 largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

In this week’s edition of InnovationRx, we look at health insurers' vows to improve prior authorization, Bell Labs’ IP ...

Health insurance reform, including more timely access for patients, will roll out early next year, said Medicaid Services Administrator Dr. Mehmet Oz. Oz announced these reforms, along with Secretary ...

Health and Human Services Secretary Robert F. Kennedy, Jr. and Centers for Medicare& Medicaid Services Administrator Dr. Mehmet Oz today met with industry leaders to discuss their pledge, to ...

Obtaining prior authorization for a medical test or procedure can be one of the most frustrating and time-consuming aspects ...

RFK Jr. promises change to health insurance prior authorization policies - Pledge from insurers to cut red tape could impact ...

They can electronically submit prior authorizations for prescriptions filled: At a military pharmacy; Through TRICARE Pharmacy Home Delivery; At a TRICARE retail network pharmacy; Q: How long does the ...

Hearing Aids are now covered for adults over 21 years old that have Full MaineCare benefits. (Not covered for individuals having only MSP-QMB benefit plan) A prior authorization needs to be submitted ...

Patients who use Tricare Prime in the West Region will not need to get preauthorization for most specialty care from their Tricare contract manager until June 30, extending a previous deadline ...