Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid Services (CMS) trials its much-discussed “Wasteful and Inappropriate Service ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Putnam's February 2024 letter, which stated that state officials would be meeting with the Centers for Medicare and Medicaid Services later that month, signaled the department's initial hopes for ...

"Prior Authorization" (PA) is a way privately-owned for-profit Medicare Advantage plans increase profits by requiring prior approval for medical services, and using AI to routinely deny that approval.

CMS has launched the BALANCE Model, a five-year test to lower costs & expand Medicare access to GLP-1 weight-loss drugs while ...