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

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

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

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, including Oklahoma ...

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

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

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 more than $10 billion last year.

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." ...

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

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