Page 4 - Prior Authorization News Today

Recent prior authorization reforms by CMS are a step in the right direction, but not a complete solution according to the AMA.

This Week in Washington: Senate Finance Committee chairman sends letters concerning MA marketing practices; Senate Committee on Aging holds hearing on assisted living facilities; CMS...

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes...

The Centers for Medicare & Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization Final Rule (Final Rule) on Jan. 17, 2024. The agency proposed the rule in...

Promoting health equity isn’t only about consideration of underlying health risks; it’s also about using that data to inform population care as well as give clinicians and their teams more time with the patient in front of them.

Under CMS recently finalized prior authorization rule, certain payers will be required to send decisions within 72 hours for urgent requests and seven calendar days for standard requests. 

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’...

Listening to his colleagues discuss the challenges of prior authorization with CMS Administrator Chiquita Brooks-LaSure was

On Jan. 18, the House and Senate passed a Continuing Resolution (CR) and averted a partial government shutdown. The CR will maintain staggered…

1upHealth Announces Appointment of Andrea Kowalski as Chief Product ...