A key legislative panel voted Tuesday to bar the Centers for Medicare & Medicaid Services from spending funds on a controversial prior authorization pilot. In an amendment added to the broader ...

Medicare is testing the use of artificial intelligence to preapprove several healthcare services.

The U.S. healthcare system is under constant pressure to manage resources effectively, particularly in federal programs like Medicare. To tackle this issue, the Centers for Medicare & Medicaid ...

Berwick is a former administrator of the Centers for Medicare and Medicaid Services. He is a senior fellow for health policy and Ducas is the VP of health policy at the Center for American Progress.

Medicare will significantly expand the use of prior authorization (PA) and post-service review for select services beginning next year, and private contractors will be permitted to use artificial ...

Sanjay Doddamani, MD, MBA, a former senior advisor to the Center for Medicare and Medicaid Innovation, and internist and cardiologist by training, explains how the Wasteful and Inappropriate Service ...

Imagine Medicare as the trusted old watch—the kind that keeps ticking without much thought, offering dependable service to seniors across America. Now picture the government slipping in a sleek ...

On June 27, 2025, the Centers for Medicare & Medicaid Services (“CMS”), through its Innovation Center (“CMMI”), released the Request for Applications (“RFA”) for a new payment and service delivery ...

The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of the Wasteful and Inappropriate Services Reduction (WISeR) Model, a six-year model under the CMS Innovation Center ...

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. In ...