Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

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 aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...

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 ...

Medicare is requiring more pre-treatment approvals in its fee-for-service program in a bid to root out unnecessary care, ...

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

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 ...

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 ...