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Centers for Medicare and Medicaid Services Interoperability Rules

Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule. If certain components finalized impacted payors required compliance by 1 January 2026. Prior Authorization Proposed Rule builds upon CMS Interoperability and Patient Access Final Rule. ....

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CMS Builds Upon Interoperability Rules with Prior Authorization Proposal | Mintz

The Centers for Medicare & Medicaid Services (CMS) recently published the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (Prior Authorization. ....

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HHS Finalizes Rule to Strengthen Medicare, Improve Access to Affordable Prescription Drug Coverage, and Hold Private Insurance Companies Accountable to Delivering Quality Health Care for America's Seniors and People with Disabilities

New law to lower prescription drug costs, the final rule will also improve access to affordable prescription drug coverage for an estimated 300,000 individuals ....

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UnitedHealth Group reduces use of prior authorization process by 20%

Ahead of a final rule that would limit the amount of time insurers have to approve prior authorization requests and would require an electronic, FHIR API standard, UnitedHealth Group on Wednesday said it would reduce the use of its prior authorization process by 20% for some nonurgent surgeries and procedures. Starting this summer, hospitals and physicians will get coverage ....

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EHR Association submits prior authorization comments to CMS

The vendor group addressed proposed interoperability requirements and answered the agency's questions about social risk data intake, exchanging behavioral health information and improving Medicare approvals and claims processing ....

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