Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

Medicare doesn’t provide services entirely "for free," but some items and services are covered with no out-of-pocket costs ...

Known as the Wasteful and Inappropriate Service Reduction (WISeR) model, it will require prior authorization for 17 services ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Some Medicare enrollees may soon be able to access super-popular drugs for obesity under a voluntary model program, the ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

The Centers for Medicare & Medicaid Services (CMS) is proposing a groundbreaking drug payment model to address the ...

Medicare enters 2026 with some of the strongest preventive benefits ever offered, giving older adults powerful tools to stay ...

Access to GLP-1 weight loss drugs could improve the long-term health and well-being for millions of Americans.

The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. | The Trump administration has unveiled yet another new payment model, this one ...

Last year, Medicare Advantage (MA) plans spent $38 billion on services traditional Medicare doesn't pay for, such as gym memberships, meals, transportation, and dental care. But a report presented to ...

“GUARD is an innovative solution designed to bring Americans the drugs they need at prices they can better afford,” said CMS Innovation Center Director Abe Sutton. “No American should be forced to ...