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A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Our Headquarters 7500 Security Boulevard, Baltimore, MD 21244

The CMS Innovation Center was established by Congress in 2010 to identify ways to improve healthcare quality and reduce costs in the Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) programs. Following this charge, the CMS Innovation Center, through its models, initiatives and Congressionally-mandated demonstrations, has ...

The collection of this information is authorized by Section 1862 (b) of the Social Security Act (codified at 42 U.S.C 1395y (b)) (see also 42, C.F.R. 411.24). The information collected will be used to identify and recover past conditional and mistaken Medicare primary payments and to prevent Medicare from making mistaken payments in the future ...

The physicians also urged CMS to finalize proposed reforms that target inappropriate use of prior-authorization requirements by Medicare Advantage plans to delay, deny and disrupt provision of medically necessary care to patients. Fixing prior authorization is a critical component of the AMA Recovery Plan for America’s Physicians.