Managed Care Programs
Expert articles and analysis related to managed care programs.
AI Summary — Last 7 Days
The Trump administration’s managed care agenda is increasingly centered on utilization management reform and AI oversight: Senate Republicans blocked an effort to terminate CMS’ WISeR Medicare AI prior authorization pilot, even as CMS ordered a corrective action plan for an AI vendor in the program—signaling that CMS is defending the test while tightening operational guardrails (Healthcare Dive, Becker’s
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The Senate voted along party lines Thursday to defeat Democrats’ attempt to end WISeR, which some lawmakers argue is delaying care for seniors.
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HR 1 Does Not Block States From Offering Medicaid And CHIP To Lawfully Residing Children And Pregnant Women
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Senate rejects effort to halt Medicare AI prior authorization pilot
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Doctors cheer payment bill as Senate keeps AI prior auths in Medicare
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State Medicaid Bed-Hold Policies and Hospitalizations and ED Visits Among Long-Stay Nursing Home Residents
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