A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

CMS will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year. New Jersey, Ohio, Oklahoma, Texas, Arizona, and ...

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.

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...

CLEVELAND, Ohio — A new Medicare pilot program, the Wasteful and Inappropriate Service Reduction (WISeR) Model, is set to launch next year in Ohio and five other states, potentially changing how older ...

The new Medicare initiative would apply to claims for procedures such as steroid injections for pain management, electrical nerve stimulator implants, skin and tissue substitutes, devices for ...

A group of House Democrats is seeking answers from CMS Administrator Mehmet Oz, MD, regarding a new initiative that will add prior authorization for some traditional fee-for-service Medicare services.

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

Niru Ghoshal-Datta, Harvard University, Boston, Massachusetts. Michael E. Chernew ([email protected]), Harvard University. J. Michael McWilliams, Harvard University and Brigham and Women’s Hospital, ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. About six years ago, a credit card company debuted a TV ...