Traditional Medicare will face greater use of prior authorizations under a pilot program by the Centers for Medicare & Medicaid Services, potentially eroding one area that enrollees like about their ...

In July, the Centers for Medicare and Medicaid Services (CMS) announced a six-year test of more aggressive prior authorization in Medicare’s traditional fee-for-service (FFS) program. CMS will conduct ...

Increasing prior authorizations would 'undercut one of the immense benefits of traditional Medicare' Traditional Medicare currently faces fewer prior authorizations than Medicare Advantage, but that ...

On December 19, 2025, the Centers for Medicare & Medicaid Services (“CMS”) proposed two mandatory Center for Medicare and Medicaid Innovation (“CMMI”) drug payment models to test whether alternative ...

Add Yahoo as a preferred source to see more of our stories on Google. At the end of January, Medicare users are going to face a major shakeup. Starting February 1, Americans on the government-funded ...

Charlotte-Mecklenburg Schools released its end-of-grade results from last year, and they show fewer children are reading at their grade level. Elementary and middle school reading scores declined with ...

Six states will be testing a new model, developed by the Centers for Medicare and Medicaid Services (CMS), for the federal health program Medicare in 2026. At the end of June, CMS announced the new ...

CMS has announced the agency will offer end-to-end ICD-10 testing this summer. The testing will allow providers and others to submit practice claims to CMS and receive feedback on how the claims were ...