Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 26, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
CMS sends update on $75M nursing home recruitment campaign, but providers’ concerns linger
By
Josh Henreckson
Jun 13, 2024
CMS’ admitted lack of a plan thus far for the $75 million it intends to use to spur development of more nursing home workers is further puncturing providers’ hopes for helpful change.
CMS delivers providers payment lifelines in the wake of Change Healthcare outage
By
Josh Henreckson
Mar 12, 2024
Federal regulators are opening pathways to shore up nursing homes’ finances in the wake of a cyberattack that has impacted Medicare and Medicaid billing nationwide.
CMS finalizes long-awaited prior authorization rule for Medicare Advantage
By
Josh Henreckson
Jan 18, 2024
A new rule on Medicare Advantage prior authorization finalized by the Centers for Medicare & Medicaid Services Wednesday suggests good news for providers and Medicare recipients.