The new model incorporates artificial intelligence to help make decisions and is being tested in six states beginning in ...

Traditional Medicare will face greater use of prior authorizations under a pilot program by the Centers for Medicare & ...

Medicare costs are projected to rise by their highest amount in years. Here’s what to expect if you’re on Part B or Part D.

A group of House Democrats is seeking answers from CMS Administrator Mehmet Oz, MD, regarding a new initiative that will add prior authorization for some traditional fee-for-service Medicare services.

House Democrats are sounding the alarm and demanding more information about a new Department of Health & Human Services (HHS) demonstration they say will increase red tape by adding prior ...

The Centers for Medicare & Medicaid Services (CMS) will use AI to help make prior authorization decisions via the new Wasteful and Inappropriate Service Reduction (WISeR) Model, but the final decision ...

You may be aware that if you're old enough to get Medicare, it means you're also old enough to sign up for Social Security.

The president posted talking points provided by one firm that donated millions, and his administration delayed a change on ...

In every way, a study published this January in a major medical journal was a win for UnitedHealth Group. It showed that ...

When I took on the role of leading Medicare, one of my primary goals was to crush the chronic fraud, waste and abuse in the ...

The GUIDE program, which is short for Guiding an Improved Dementia Experience, launched in July and offers up to 80 hours of ...