A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

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

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...

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

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 ...

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 ...

CMS on July 14 released its annual proposed changes to the physician fee schedule for 2026, which will see two separate conversion factors apply, as required by statute. Eight things to know: 1. One ...

AHA comments on the U.S. Department of Health and Human Services request for information to ensure lawful regulation and unleash innovation to promote better health.

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

As more adults are looking for help to face overactive bladder (OAB), they wonder if their plan will cover the essensials for mediactions like Gemtesa (vibegron). The question th ...

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