16 Sep, 2024 CMS Proposes Protocols for Enhanced Oversight of Medicare Part C Utilization Management Requirements By Kelli Howe In 2024, the Centers for Medicare & Medicaid Services (CMS) leveraged its existing oversight channels1 to assess plans’ compliance with...
07 Jun, 2024 Are You Paying Attention to Prior Authorization? Your Regulators Are. By Jeffrey Low Dorothy DeAngelis Kelli Howe Richard Merino Angela Sabbe +2 more... Show less With recent CMS mandates and state-level reforms, the healthcare industry faces a pivotal moment to improve prior authorization...