AHEAD, which builds on existing all-payer models in certain states, gives participating states up to $12 million to implement the model. In return, states agree to be accountable for cost growth ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization processes for Original Medicare beneficiaries. Announced last ...

CMS on Sept. 2 unveiled policy and operational updates to the Achieving Healthcare Efficiency through Accountable Design Model, a state total cost of care initiative launched in 2023 to curb spending, ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...