Both the Centers for Medicare & Medicaid Services (CMS) and dozens of the nation’s largest insurance companies have revealed upcoming changes to ...

Humana has released details about additional, upcoming organizational improvements to encourage a faster prior authorization ...

Learn about the benefits that become permanent features of Medicare in 2026 and how they have been changed or updated since ...

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

CMS issued the 2026 Medicare Physician Fee Schedule, or PFS, proposed rule on July 14.It includes a 0.75% increase to the ...

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

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

While Medicare Advantage (MA) penetration has skyrocketed, forcing home health providers to adapt their businesses. MA home health utilization, however, ...

Becker’s reported on six developments in CMS and Medicare news affecting spine surgery and physicians. 1. Some fee-for-service spine procedures in traditional Medicare will have prior authorizations ...

This latest move by health insurers will give patients faster access to health care with "fewer challenges navigating the health system." ...

Humana is taking a second bite at the apple to improve its sunken MA stars, filing an edited complaint with a Texas court on ...

Some of the nation's health insurers say they're taking steps to speed the process by which doctors approve medical care.