CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

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

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...

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 ...

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.

Health care service companies are being asked to join a program that relies on technology to review certain fee-for-service Medicare requests. A program-affiliated medical professional will give the ...

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.

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior ...

Given these alarming statistics, the End Burnout Group (EBG), a multi-disciplinary group of clinicians and informaticists which we lead, identified prior authorization as a leading root cause of ...

A 2024 survey from the American Medical Association showed that 93% of physicians say prior authorizations lead to care delays for patients — and that 1 in 4 say prior authorization has led to a ...

WINTER PARK, Fla., April 28, 2025--Humata Health announced that Allegheny Health Network is the first health system to implement truly touchless medical prior authorization.

Critics cite costs of prior authorization reform as a concern, but the data is not on their side. The Center for Medicare & Medicaid Services reformed its prior authorization practices and ...