Prior Authorization & Utilization Management | Medicare Policy Initiative

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CMS’s WISeR Model Faces Potential Repeal Following GAO Determination

CMS Suspends New Medicare Advantage Prior Authorization Transparency Rules Amid Public Concerns About Care Denials

What’s Next for Prior Authorization in Medicare Advantage

Fact Sheet: Artificial Intelligence in Medicare Advantage – Opportunities and Risks

Artificial Intelligence in Medicare Advantage—Opportunities and Risks

New CMS WISeR Model Revives Concerns of Prior Authorization and Artificial Intelligence

The Trump Administration’s First Regulatory Action on Medicare Advantage Omits Some Prior Authorization Guardrails

Fact Sheet: Prior Authorization in Medicare Advantage

Prior Authorization in Medicare Advantage: Balancing Patient Access and Program Costs