CMS Announces Phased-In Reduction of Medicare Payment Rates for Lab Services
The Centers for Medicare & Medicaid Services (CMS) plans to reduce preliminary Medicare payment rates for laboratory...
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UHC to Eliminate Certain Prior Authorization Requirements Across Plans
United Healthcare announced Sept. 1 it is eliminating 30 percent of prior authorization requirements for certain plans.
CAP Urges CMS to Reconsider Payment for Software-Based Diagnostic Services
The College of American Pathologists (CAP) submitted comments to the Centers for Medicare & Medicaid Services (CMS) on...
CMS Releases October Quarterly Update to CLFS and CLIA HCPCS Codes
The Centers for Medicare & Medicaid Services (CMS) posted the October 2026 Quarterly Update to the Clinical Laboratory...
Appeals Court Strikes Down No Surprises Act Qualified Payment Amount Formula
The U.S. Court of Appeals for the Fifth Circuit issued a ruling on Aug. 11 striking down a provision of the No...
UnitedHealthcare Expands Multiple Genetic and Molecular Policies
UnitedHealthcare (UHC) Community Plan’s August policy update revised several medical policies to reflect phase 2 of the...
Organizations Representing Clinical Labs and Diagnostics Write in Support of Legislation to Improve Medicare LCD Process
A coalition of more than 30 stakeholder organizations has written to key lawmakers expressing their support for the...
Congressional Problem Solvers Caucus Endorses RESULTS Act
A bipartisan congressional caucus recently announced its endorsement of the Reforming and Enhancing Sustainable Updates...
Senate HELP Committee Votes to Advance Price Transparency Legislation
On July 22, the Senate Health, Education, Labor, and Pensions (HELP) Committee voted to advance the Patients Deserve...
Proposed Medicare Physician Fee Schedule Released, With Proposed Changes to the CLFS
The Centers for Medicare & Medicaid Services released a proposed rule for the 2027 Medicare Physician Fee Schedule and...
ONC Announces Funding Opportunity to Improve Health IT for Laboratories
The Office of the National Coordinator for Health Information Technology (ONC) published a notice of funding...
Congressional Opposition to WISeR Model Demands Performance Data From CMS
A congressional coalition sent a letter on June 22 to Centers for Medicare and Medicaid Services (CMS) Administrator...