In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

The program was first announced in June by Health and Human Services Secretary Robert F. Kennedy Jr. and Dr. Mehmet Oz, ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

Transcure announced the introduction of a structured lineup of AI medical billing agents designed to address distinct functions across the revenue cycle management process. The announcement outlines a ...

Next year, Texas will be one of six states participating in a Medicare pilot program that uses artificial intelligence to review certain patient service requests to reduce fraud, waste and abuse.

Artificial intelligence will soon be used for prior authorization for certain Medicare services in Texas and five other ...

UiPath (NYSE: PATH), a global leader in agentic automation, today announced an integration with Talkdesk, Inc., a leader in customer experience automation (CXA), to enable organizations to leverage ...