In a recent roundtable, the Department of Health and Human Services and executives from top insurance providers pledged to address longstanding concerns around prior authorizations, aiming to reduce ...

Becker’s reported on six developments in CMS and Medicare news affecting spine surgery and physicians. 1. Some fee-for-service spine procedures in traditional Medicare will have prior authorizations ...

The DME MACs in June indicated that prior authorizations for identical replacement power mobility devices after the five-year ...

Can UHC Medicare Advantage members go to Brown Health hospitals for emergencies? We dug into this and other questions.

Sanjay Doddamani, MD, MBA, a former senior advisor to the Center for Medicare and Medicaid Innovation, and internist and ...

Provider organizations have answered the Department of Health and Human Services’ (HHS’) call for deregulation suggestions with their policy change wish lists tackling topics from prior authorizati | ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

In an about-face, the administration is cracking down on so-called skin substitutes, overused treatments that cost Medicare ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...