The CMS’ Innovation Center announced the pilot program, called the Wasteful and Inappropriate Service Reduction, or WISeR, Model, last year. The experiment runs through 2031. Under the model, doctors ...
A new Medicare pilot program will require prior authorization for certain medical procedures, using AI to approve or deny coverage A new Medicare pilot program will require prior authorization for ...
On May 12, the Centers for Medicare & Medicaid Services (CMS) published the draft guidance for the Medicare Drug Price Negotiation Program’s (DPNP’s) third cycle (2028). The draft guidance, open for a ...