Use of algorithms and artificial intelligence (AI) in prior authorization and utilization management is facing growing criticism and litigation. Notable lawsuits include alleged automatic ...

A soon-to-expand prohibition on nursing homes’ use of third-party financial guarantees could lead to more operators using lawsuits to collect as residents’ unpaid debt becomes a bigger financial ...

The Centers for Medicare & Medicaid Services (“CMS”) has issued an updated version of the Form CMS-855A that requires additional disclosures for skilled nursing facilities (“SNFs”). Effective October ...

It's been almost six months since the Trump administration unveiled a sweeping health tech initiative that aims to modernize Medicare and advance next-generation digital health for patients, including ...

Add Yahoo as a preferred source to see more of our stories on Google. Director of Medicare and Deputy Administrator of CMS Chris Klomp, center, speaks during a White House announcement on drug pricing ...