At Roxborough Memorial Hospital in Philadelphia, surgeon Piotr Krecioch has his hands full launching a program offering surgical interventions to treat obesity. One in three Philadelphians are living ...
A third-party audit assessing Minnesota Medicaid programs at high risk for fraud found the state could safeguard $1 billion in the next four years by changing its policies on payment reviews. But the ...
Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to determine what care can be covered for older adults. Starting in January, about ...
Grantees must develop and maintain personnel policies and procedures to ensure clinical staff are hired, trained and evaluated appropriately for their position. Contracted staff must also be trained ...
A new pilot program from CMS will require prior authorization, or pre-approval, from insurers for certain medical procedures. The government says the program will test whether it can reduce waste, ...
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 ...
A new Medicare pilot program will require prior authorization for certain medical procedures, using AI to approve or deny coverage A new program from the Centers for Medicare and Medicaid Services ...
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