Legislation aimed at reducing delays when Medicare Advantage plans require preapproval for care could hit the House floor under fast-track rules for bills that have broad support.
The bill, sponsored by Rep. Mike Kelly, R-Pa., targets use of prior authorization in Medicare Advantage — in which insurers approve or deny services before they can be delivered.
The legislation would require… Read more »
Today, Congresswomen Suzan DelBene (WA-01), Suzanne Bonamici (OR-01), Emilia Sykes (OH-13), and Judy Chu (CA-28) led 83 of their colleagues in conducting oversight of the recently-launched Moms.gov. The letter demands that Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. provide answers about the department’s goals in developing, funding, reviewing, and operating… Read more »
Five months into a pilot program that uses AI to review certain Medicare procedure requests, Washington seniors face new hurdles and worsening health outcomes, according to health care providers and lawmakers.
The program, which incentivizes participating private companies to deny procedures, has become the target of a repeal effort by Democratic Congressional members, including those… Read more »
Democrats are pushing to shut down a new Medicare pilot program using artificial intelligence to approve or deny certain medical services under a new prior authorization model.
The pilot initiative, known as the Wasteful and Inappropriate Services Reduction (WISeR) model, uses AI-assisted prior authorization in traditional Medicare, but lawmakers say it could delay or deny care for… Read more »
Sen. Ron Wyden (Oregon), the top Democrat on the Senate Finance Committee, is launching an effort to overturn a Trump administration pilot project that’s testing the use of AI-driven prior authorization in traditional Medicare.
The pilot, called the Wasteful and Inappropriate Service Reduction, or WISeR, uses contracts with artificial intelligence companies to process requests —… Read more »
Today, Representatives Suzan DelBene (WA-01), Blake Moore (UT-01), Rudy Yakym (IN-02), Terri Sewell (AL-07), Lori Trahan (MA-03), and Gus Bilirakis (FL-12) led a bipartisan letter urging Department of Health and Human Services Secretary Kennedy and Administrator for the Centers for Medicare & Medicaid Services Oz to take action on improving Medicare coverage for FDA-designated… Read more »
U.S. Reps. Mike Kelly (R-Penn.) and Suzan DelBene (D-Wash.) have introduced the Concurrent Care for Comfort Act, designed to ensure that hospice patients can receive dialysis treatment.
The Concurrent Care for Comfort Act would clarify Medicare coverage policies for palliative dialysis and establish separate reimbursement for these services when provided by renal dialysis facilities and… Read more »
Today, Representatives Suzan DelBene (WA-01) and Mike Kelly (PA-16) introduced the Concurrent Care for Comfort Act, bipartisan legislation that would help improve care for patients with kidney failure.
Currently, Americans living with kidney failure are not allowed to continue their dialysis treatment under Medicare if they choose to enter hospice care. This legislation… Read more »
Traditional Medicare denials are harming patient care in the six states where the U.S. Centers for Medicare & Medicaid Services mandated the use of the Wasteful and Inappropriate Service Reduction (WISeR) Model this year, says Rep. Suzan DelBene, D-Wash.
"Under your leadership, CMS recently added new layers of red tape that Medicare patients need to navigate to get the care that they… Read more »
A proposed bipartisan bill could reduce what you pay for Medicare, helping you avoid wasting your retirement savings. The Chronic Care Management Improvement Act would eliminate the Medicare coinsurance requirement for chronic care management (CCM) services, saving beneficiaries money every month. The bill might encourage more Medicare beneficiaries to get the care they need, and it… Read more »
