Humana to Eliminate One-Third of Prior Authorization Requirements for Outpatient Services by 2026
Humana announced on July 22 that it would accelerate efforts to eliminate its prior authorization requirements.
CLIA Program Transitioning to Paperless System for Notifications and Payment
Clinical Laboratory Improvement Amendments (CLIA) certification is transitioning to a paperless system for receiving...
CMS Expands Medicare Coverage for Molecular Diagnostic Tests
The Centers for Medicare & Medicaid Services (CMS) is expanding Medicare coverage for genetic testing through the MolDX...
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...
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...
TELCOR Announces Vice President Promotion - Tommy Dickinson
Lincoln, Nebraska – June 11, 2025 – TELCOR Inc., the market leader of point of care (POC) middleware and revenue cycle...
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...