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) issued a proposed decision memo for its National Coverage Analysis (NCA) ...

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

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

The cuts to federal social safety net programs like SNAP and Medicaid have been widely reported. What do they mean for North ...

The Centers for Medicare & Medicaid Services is warning healthcare providers and suppliers about a new fraud scheme involving fake faxed requests for medical records. According to a June 26 alert ...

Why did I lose Medicaid after enrolling in Medicare at 65, even though my income hasn’t changed? When you turn 65 and enroll in Medicare, your eligibility for Medicaid may change—even if your ...

Medicare drug plans usually cover the pill form of semaglutide for type 2 diabetes. Learn more about coverage and costs.

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 ...

There are exceptions for those who are unable to work or handicapped. America has never seen such deep cuts in Medicare and Medicaid programs to the current level of $880 billion.

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