Writer questions using private, for-profit companies' artificial intelligence and wonders about a conflict of interest in Medicare's WISeR pilot.

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 ...

The biggest changes are increases to Medicare costs, experts said, with monthly premiums rising from about $185 per person in ...

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the ...