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

More than 100,000 individuals may have been impacted by a "data incident" where unauthorized Medicare beneficiary accounts ...

Patients with chronic respiratory failure who meet usage criteria will have more access to respiratory assist devices.

The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health ...

CMS has released a proposed rule on home health and DME that includes new policies for the next round of its national competitive bidding program. Those provisions include new rate-setting methodologi ...

Cadence, a remote monitoring service provider, has stealthily created an advanced primary care business to help health ...

The Centers for Medicare & Medicaid Services (CMS) has announced the launch of the Wasteful and Inappropriate Service ...

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

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 authorizations under the traditional Medicare program, but some ...

Charlotte Mecklenburg Schools talked about naming "AI champion schools" during an end-of-year news conference Monday.

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 ...