CMS Launches WISeR Model to Target Wasteful Medicare Spending
On June 27, the Centers for Medicare & Medicaid Services (CMS) announced a new model for expediting prior authorization...
Industry (3)
Major Health Insurers Pledge to Simplify and Streamline Prior Authorization
The national trade association America’s Health Insurance Plans (AHIP) announced on June 23 that major U.S. health...
CMS to Hold Clinical Laboratory Fee Schedule Annual Public Meeting This Week
The U.S. Centers for Medicare & Medicaid Services (CMS) will hold its Clinical Laboratory Fee Schedule (CLFS) Annual...
Medicare Expands Genomic Testing Coverage
On May 29, Medicare announced it would expand coverage for genomic sequence analysis panels in the treatment of...
Legislation Seeks to Provide Transparency in Prior Authorization Decisions
A bill introduced in the U.S. House of Representatives in late March seeks to increase transparency around prior...
Legislation Reintroduced in Senate to Streamline Prior Authorization for Seniors
On May 20, Sens. Mark Warner (D-Va.) and Roger Marshall, M.D. (R-Kan.) reintroduced the Improving Seniors’ Timely...
No Appeal of LDT/FDA Lawsuit
The FDA had until May 30 to appeal U.S. District Court Judge Sean D. Jordan's decision to vacate the agency's Final...
CMS Announces New FDA-Approved Waived Tests
In a change request (CR 14025) released on May 9, the Centers for Medicare & Medicaid Services (CMS) announced six new...
HHS Urged to Reinstate Clinical Laboratory Improvements Advisory Committee
The Association for Diagnostics & Laboratory Medicine (ADLM) urged the Department of Health and Human Service (HHS) to...
Medicare Administrative Contractor Expands Coverage of Special Histochemical, Immunohistochemical Stains
A revised local coverage determination, effective June 7, 2025, expands coverage for special histochemical stains and...
CMS Publishes Updates to the Clinical Laboratory Fee Schedule
The Centers for Medicare and Medicaid Services (CMS) announced the following updates to the Clinical Laboratory Fee...