9/16/2024 1:00:52 PM 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...
6/7/2024 1:54:45 PM 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...
4/24/2023 8:06:52 PM CMS Confirms New Prior Authorization Requirements for Medicare Advantage in 2024 Final Rule By Kelli Howe Published earlier this month, the Centers for Medicare & Medicaid Services (CMS) “Contract Year 2024 Policy and Technical Changes to the...