CMS
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CMS and AHIP Isn’t the Finish Line: It’s the Starting Gun for Prior Auth Innovation
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The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for ...

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Democratic Attorneys General Sue Trump Administration Over New ACA Rule
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Democratic attorneys general of 20 states, as well as the governor of Pennsylvania, filed a lawsuit against the U.S. Department of Health and ...

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Medicaid Helps Families — Like Mine — Live the Promise of “Life, Liberty, and the Pursuit of Happiness”
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When I was 23 and living in Malawi, Africa, I got a message that my mom was in the hospital — in a coma, with less than a 10% chance of surviving ...

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Why Providers Aren’t Happy with CMS’ Outpatient Medicare Physician Payment Proposal
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The Centers for Medicare & Medicaid Services unveiled a proposed rule that would raise Medicare outpatient payments next year, as well as ...

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Undervalued and Underfunded: Primary Care’s Plea for Medicaid
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There has been a constant battle for Medicaid in America – from states slashing Medicaid reimbursements or refusing to expand access, to ...

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