The U.S. Department of Health and Human Services, through the Office of the National Coordinator for Health Information Technology, today finalized its Health Data, Technology, and Interoperability: ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

Latest prior authorization reform shows insurer commitments and CMS rules improving processes for 257 million Americans in ...

UnitedHealthcare will drop prior authorization requirements for 30% of services by the end of 2026, aligning with a broader ...

The Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability rule, or HTI-2, doesn’t feature a number of provisions included in the ...

On July 1, a final rule by the Centers for Medicare & Medicaid Services (CMS) took effect that opens up patient access to healthcare data. When the interoperability rule was issued in 2020, former CMS ...

The rule aims to free data from silos to promote interoperability between payers and providers. On July 1, a final rule by the Centers for Medicare & Medicaid Services (CMS) takes effect, and aims to ...

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

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

On 17 January 2024, the Centers for Medicare & Medicaid Services (CMS) released a final rule outlining new interoperability and prior authorization requirements for certain payors (Final Rule). 1 With ...

HHS and CMS’ regulations requiring all healthcare providers and payers to meet interoperability standards will start being enforced on June 30. The rule is the first phase of policies aimed at ...