Reported about 20 hours ago
The Trump administration is set to launch a pilot program on January 1 that will enforce prior authorization requirements for specific medical treatments in traditional Medicare across six states: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. This initiative aims to combat fraud and reduce wasteful spending, although concerns arise about potential delays in care similar to those experienced by Medicare Advantage members. The program will involve private companies utilizing advanced technologies, including artificial intelligence, to review authorization requests, with final decisions resting with licensed clinicians.
Source: YAHOO