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

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 ...

In a recent roundtable, the Department of Health and Human Services and executives from top insurance providers pledged to address longstanding concerns around prior authorizations, aiming to reduce ...

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

Q2 2025 Earnings Call Transcript July 17, 2025 Elevance Health Inc. misses on earnings expectations. Reported EPS is $8.84 ...

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 ...

States must begin verifying millions of Medicaid enrollees’ monthly work status by the end of next year. Critics say this may ...

Budget - SB 2510 (Welch/Sims) created the fiscal year (FY) 2026 budget appropriation bill. The budget is based on ...

About 68.5 million Americans are currently enrolled in some type of Medicare plan, with about 90% of enrollees being over age 65, according to the Centers for Medicare & Medicaid Services.

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

CMS is proposing changing the Medicare Diabetes Prevention Program to allow more people to access coaching and peer support, as well as practical training in dietary change, physical activity and beha ...