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The Centers for Medicare & Medicaid Services (CMS) will use AI to help make prior authorization decisions via the new Wasteful and Inappropriate Service Reduction (WISeR) Model, but the final decision ...
The procedures will be reviewed by AI for coverage determinations, although final decisions will be made by people. The companies contracting to do the review process will receive payments when they ...
The president posted talking points provided by one firm that donated millions, and his administration delayed a change on ...
UnitedHealthcare says it plans to drop Medicare Advantage plans that currently serve over 600,000 users, becoming the latest ...
Insurers plan to keep sacrificing MA growth for profitability next year, after second quarter results for Humana and CVS ...
Click in for more news from The Hill{beacon} Health Care Health Care The Big Story Pharma industry loses on Medicare price ...
With major changes expected for Medicaid in 2026, is Medicare also changing? It's a question many may be asking, as confusion around both Government funded healthcare programs swirl.
Medicare costs will be going up more than usual in 2026, according to projections from the Centers for Medicare and Medicaid Services (CMS). The new Medicare Part B premium is estimated to be $206.50 ...
Federal judges in Texas and Connecticut on Thursday ruled against arguments challenging the constitutionality of the Medicare ...
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