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

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

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 ...

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 ...

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

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 ...

On July 14, 2025, the Centers for Medicare and Medicaid Services (CMS) released the 2026 calendar year (CY 2026) Medicare ...

CMS’ proposed rule for the 2026 Medicare Physician Fee Schedule comprises key updates to the Medicare Shared Savings Program, according to a July 14 news release from the agency. The proposals aim to ...

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.