A six-state pilot program will target 'wasteful care' under Medicare Medicare programs in six states will face prior authorizations under a new pilot program. Traditional Medicare in six states will ...

New Jersey Medicare patients will be guinea pigs in a grand experiment that tests the capabilities of using artificial intelligence to decide which medical procedures should be covered by insurance.

DALLAS — I know for some people, Medicare open enrollment time (which is happening now) can seem like a dreaded medical procedure: You know you need to get it done, but you don’t really want to do it.

The federal government is moving forward with a long-planned effort to eliminate a list of medical procedures limited to inpatient facilities, per a 2026 hospital payment rule finalized Friday. The ...

Pendergrast is an anesthesiology resident physician at the University of Michigan. The 1 in 5 Americans suffering from chronic pain may soon lose access to evidence-based interventions that have ...

Maryland lawmakers are calling for answers after claiming an Iowa superintendent who was arrested by immigration officers is still listed as an active voter in Maryland. According to the Maryland ...

The program, called WISeR, aims to reduce wasteful spending and fraud in the Medicare system. Doctors and Democrats have raised concerns that the pre-approval process could delay or deny necessary ...

Section 1. Background. In Executive Order 14257 of April 2, 2025 (Regulating Imports With a Reciprocal Tariff To Rectify Trade Practices That Contribute to Large and Persistent Annual United States ...

A pilot program in six states will use a tactic employed by private insurers that has been heavily criticized for delaying and denying medical care. By Reed Abelson and Teddy Rosenbluth Like millions ...

The way cardiovascular care is delivered in the US is changing rapidly. Procedures once limited to hospitals are now increasingly performed in outpatient clinics such as ambulatory surgery centers and ...

A new study reveals that Medicare beneficiaries are receiving billions of dollars worth of medical care that offer little to no clinical benefit and may lead to harm. Researchers found that Medicare ...

Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70. The Trump administration is opening the floodgates for more surgeries to be done in outpatient ...