New Jersey Medicare patients will be guinea pigs in a grand experiment that tests the capabilities of using artificial intelligence to decide which medical procedures should be covered by insurance.

The Department of Health and Human Services Dec. 18 announced three regulatory actions related to the practice of “sex-rejecting procedures” on children. The Centers for Medicare & Medicaid Services ...

DALLAS — I know for some people, Medicare open enrollment time (which is happening now) can seem like a dreaded medical procedure: You know you need to get it done, but you don’t really want to do it.

Skilled nursing leaders are renewing calls to eliminate the three-day stay rule in light of a policy change that the Centers for Medicare & Medicaid Services (CMS) finalized last week. Specifically, ...

The federal government is moving forward with a long-planned effort to eliminate a list of medical procedures limited to inpatient facilities, per a 2026 hospital payment rule finalized Friday. The ...

[This is Part 2 of the post, “Any Medical Procedure Can Traumatize Your Child.”] As covered in Part 1, any medical procedure runs the risk of becoming traumatic based on a child’s emotional experience ...

Unlock the full InfoQ experience by logging in! Stay updated with your favorite authors and topics, engage with content, and download exclusive resources. Cory Benfield discusses the evolution of ...

A plan to phase out a list of procedures that can be performed only on an inpatient basis has major implications for skilled nursing coverage post-surgery, a major aging services advocacy group is ...

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Trina Paul is a Breaking News and Personal Finance Writer at Investopedia, covering topics like retirement, consumer debt, and retail investing. She focuses on making complex financial topics ...

Add Yahoo as a preferred source to see more of our stories on Google. In June of this year, CMS announced that it would be launching the Wasteful and Inappropriate Service Reduction (WISeR) Model, ...

A pilot program in six states will use a tactic employed by private insurers that has been heavily criticized for delaying and denying medical care. By Reed Abelson and Teddy Rosenbluth Like millions ...