In accordance with mandates outlined in the Patient Protection and Affordable Care Act, the Centers for Medicare and Medicaid Services has released its plan to upgrade its current computer and data ...
New CMS program, WISeR, will leverage third parties to screen prior authorization requests using technologically enhanced processes. On July 1, 2025, the Centers for Medicare & Medicaid Services ("CMS ...
Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she ...
The Centers for Medicare & Medicaid Services has awarded National Government Services a potential $310 million contract to continue helping CMS manage contact center calls from Medicare beneficiaries ...
Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial intelligence tools. The Wasteful and Inappropriate Service Reduction (WISeR) model is ...
As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 ...
Yet another glitch in Medicare system computers is starting to grab the attention of lawmakers. The latest problem involves Medicare taking extra money, sometimes for months in a row from ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results