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

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

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, including Oklahoma ...

OKLAHOMA CITY (KFOR) — Changes are on the horizon for Medicare patients, regarding certain services moving to prior authorization. In 2026, the Centers for Medicaid and Medicare Services will ...

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

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

OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, ...

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

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, ...

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 ...

For the first time, Medicare is able to negotiate with drug companies to lower the price paid for 10 highly used medications. These new prices will go into effect on January 1, 2026.