A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans' requests for certain medical care—and will reward the companies when they deny it.

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use of prior authorization in Medicare. On the one hand, there is the effort ...

Artificial intelligence will soon be used for prior authorization for certain Medicare services in Texas and five other ...

The AHA Oct. 23 recommended changes to the CMS' Wasteful and Inappropriate Services Reduction model to address multiple concerns. The model is designed to use technology-enabled prior authorization to ...

Earlier this year, the Centers for Medicare and Medicaid Services introduced the "Wasteful and Inappropriate Service Reduction" model, a series of requirements designed to ensure timely and ...

Next year will bring big changes for people on Medicare, from increased premium prices to new technology and some price-saving drug deals. And while some of these changes will help people actually ...

The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health care services, to Traditional Medicare. The government plans on using ...

December 17, 2025 - On Tuesday, U.S. Senator Kirsten Gillibrand, the top-ranking Democrat on the Senate Aging Committee, ...