The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...
Oregon Coordinated Care Organization to Leverage 1upHealth's Comprehensive Interoperability Suite to Drive CMS ...
Insurance verification expansion helps healthcare practices address eligibility challenges before patient visits.
Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to determine what care can be covered for older adults. Starting in January, about ...
Starting Jan. 1, traditional Medicare recipients in Washington state will face a new hurdle to get certain procedures covered — private AI companies that get paid based on how many claims they deny.
The Centers for Medicare and Medicaid Services has selected the six technology companies that will administer artificial intelligence-powered prior authorization programs for Medicare, STAT has ...
The American Hospital Association is urging CMS to delay its Medicare prior authorization pilot — the Wasteful and Inappropriate Service Reduction initiative — by at least six months. “This timeframe ...
Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...
Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz joins 'Squawk Box' to discuss Medicare reforms, implementing prior authorization requirements, the future of Medicaid, and more.
Getting your Trinity Audio player ready... The Colorado Association for Behavior Analysis and 11 providers sued the state of Colorado on Tuesday, alleging that a requirement that they get advance ...
Getting your Trinity Audio player ready... Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in ...
Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in a year, as the department overseeing the ...