Both the Centers for Medicare & Medicaid Services (CMS) and dozens of the nation’s largest insurance companies have revealed upcoming changes to ...

Learn about the benefits that become permanent features of Medicare in 2026 and how they have been changed or updated since ...

Humana has released details about additional, upcoming organizational improvements to encourage a faster prior authorization ...

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

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

CMS issued the 2026 Medicare Physician Fee Schedule, or PFS, proposed rule on July 14.It includes a 0.75% increase to the ...

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 ...

While Medicare Advantage (MA) penetration has skyrocketed, forcing home health providers to adapt their businesses. MA home health utilization, however, ...

This latest move by health insurers will give patients faster access to health care with "fewer challenges navigating the health system." ...

Some of the nation's health insurers say they're taking steps to speed the process by which doctors approve medical care.

Humana is taking a second bite at the apple to improve its sunken MA stars, filing an edited complaint with a Texas court on ...