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Opinion
Prior Authorization In Medicare Advantage: Beneficiary Exposure And Plan Disenrollment In 2021
Medicare Advantage plans use prior authorization to manage health care use. In recent years, these practices have come under intense scrutiny from policy makers. Using beneficiary enrollment data and ...
CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.
On July 7, CMS released its proposed rule updating the 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center payment system, including key changes for gastroenterology ...
Misaligned payment and quality incentives, Medicare Advantage practices, and workforce constraints can limit Medicare ...
Medicaid payment error rates under H.R. 1 could rise due to work requirements and other changes that make eligibility ...
BACKGROUND: Despite strong guideline recommendations for cardiac rehabilitation (CR) following an acute myocardial infarction ...
Artificial intelligence (AI) health-care technologies offer a means of addressing the growing gap between health-care ...
Celldetective is an open-source software integrating segmentation, tracking, and event detection to perform high-throughput end-to-end study of dynamic cell interactions, without requiring coding ...
Of the roughly 1 million disputes taken through the law's arbitration process in Q2 2025, around 129,000 were for lab codes, with payments for basic tests averaging hundreds of dollars.
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