Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

In an about-face, the administration is cracking down on so-called skin substitutes, overused treatments that cost Medicare ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

For Assm. Heidi Kasama (R-Las Vegas), delayed insurance approvals for health care treatment aren’t just something she hears ...

The resulting budget resolution, which is a concurrent resolution and therefore not signed by the President, includes what is known as a 302 (a) allocation that sets a total amount of money for the ...

From shifts toward site-neutrality to projected increases in patient volumes, there are a number of developments in healthcare that spell good news for ASCs and their future growth. Here are 10 recent ...

States that expanded Medicaid will have to check to ensure those enrollees are volunteering or working at least 80 hours a ...

Some services covered by Medicare will require Prior Authorization in 2026 ...

CMS’ proposed rule for the 2026 Medicare Physician Fee Schedule comprises key updates to the Medicare Shared Savings Program, according to a July 14 news release from the agency. The proposals aim to ...

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to ...