Traditional Medicare will face greater use of prior authorizations under a pilot program by the Centers for Medicare & Medicaid Services, potentially eroding one area that enrollees like about their ...

In July, the Centers for Medicare and Medicaid Services (CMS) announced a six-year test of more aggressive prior authorization in Medicare’s traditional fee-for-service (FFS) program. CMS will conduct ...

Increasing prior authorizations would 'undercut one of the immense benefits of traditional Medicare' Traditional Medicare currently faces fewer prior authorizations than Medicare Advantage, but that ...

Add Yahoo as a preferred source to see more of our stories on Google. At the end of January, Medicare users are going to face a major shakeup. Starting February 1, Americans on the government-funded ...

CMS released a guidance April 11 that outlines the Trump administration’s new COVID-19 coverage requirements for private health plans. 1. In March, several national insurers committed to paying for ...

CMS has announced the agency will offer end-to-end ICD-10 testing this summer. The testing will allow providers and others to submit practice claims to CMS and receive feedback on how the claims were ...