The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...
The announcement of the CMS Interoperability Framework holds much promise and opportunity for patients, providers, and our national healthcare system. With renewed support from the federal government ...
The Centers for Medicare & Medicaid Services is launching a new initiative aimed at accelerating adoption of electronic prior ...
The Centers for Medicare & Medicaid Services (CMS) recently published the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (Prior Authorization Proposed Rule), and, ...
One increasingly subtle but important theme in US healthcare is the shift to care allocated by payers rather than providers. Historically, decisions on what care to provide patients were made by ...
CMS has proposed a 2026 rule extending electronic prior authorization and interoperability requirements to drugs, building on earlier mandates for non-drug services. The proposal adds small group ...
Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.
In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing ...
On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization final rule (Final Rule) (fact sheet, CMS’ interoperability website), ...
The proposed rule on interoperability standards and prior authorization could lead to significant change in CMS. Prior authorization has become one of the clearest points where administrative ...
Federal health officials are pressing for rapid adoption of the CMS Interoperability Framework, with a Q1 2026 deadline for networks to meet new patient data-sharing standards built on FHIR. The ...
Netsmart, an industry-leading provider of healthcare technology solutions and services for community-based care providers, announced its commitment to the Centers for Medicare & Medicaid Services (CMS ...