New CMS program, WISeR, will leverage third parties to screen prior authorization requests using technologically enhanced processes. On July 1, 2025, the Centers for Medicare & Medicaid Services ("CMS ...

There is no governmental mechanism to pay for an AI agent that monitors a patient between visits, calls to check in, coordinates a housing referral, or makes sure someone picks up their medication.

The CMS’ Innovation Center announced the pilot program, called the Wasteful and Inappropriate Service Reduction, or WISeR, Model, last year. The experiment runs through 2031. Under the model, doctors ...

As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 ...