The findings build on other research suggesting that MA insurers restrict care more than they should, especially post-acute services.| Healthcare Dive
Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut funding for what it deems medically unnecessary care.| Healthcare Dive
The CMS plans to trial prior authorization requirements in traditional Medicare. A group of Democrat representatives think that’s a bad idea based on the tool’s track record in Medicare Advantage.| Healthcare Dive
