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 has proposed extending 2024’s electronic prior authorization rules to include prescription drugs, aiming for faster, more transparent decisions. The rule ...
CMS has proposed a 2026 rule to extend electronic prior authorization and interoperability requirements to prescription drugs under Medicare Advantage, Medicaid, CHIP, and ACA exchange plans. The ...
Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...
SALT LAKE CITY--(BUSINESS WIRE)--Edifecs, a Cotiviti business and a pioneer in healthcare data and interoperability, has been named the 2026 Best in KLAS ® for CMS Payer Interoperability by KLAS ...
Edifecs, a Cotiviti business and a pioneer in healthcare data and interoperability, has been named the 2026 Best in KLAS® for CMS Payer Interoperability by KLAS Research. This ranking, included in the ...
A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare Advantage prior authorization requests for medications to 24 hours and ...
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