The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

Here’s what to know about prior authorization, and what insurers have vowed to do. What is prior authorization? Prior ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

"Prior authorization is often denied because a provider has not provided all of the necessary information," Moran told ...

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

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...

The Affordable Care Act survived yet another trip to the Supreme Court. The justices quibbled over just how powerful the ...

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...