CMS has proposed a 2026 rule expanding prior authorization reforms to include drugs under both medical and pharmacy benefits, introducing electronic workflows, faster decision timelines, and greater ...

The Centers for Medicare & Medicaid Services has opened registration for its seventh annual CMS & Health Level Seven ...

The Centers for Medicare and Medicaid Services has long championed interoperability as a cornerstone of providing better care, improving patient empowerment, and reducing administrative burden.

Availity has introduced a CMS-0057-F compliance blueprint to help payers meet new federal interoperability and prior authorization mandates taking effect in 2026 and 2027. The plan incorporates ...

Availity®, the nation’s largest health information network, reinforced its preparedness for the Centers for Medicare and Medicaid Interoperability and Prior Authorization Final Rule (CMS-0057-F) and ...

Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...

Brado AI, a healthcare technology company focused on conversational AI–powered patient engagement, today announced its successful completion of the Centers for Medicare & Medicaid Services (CMS) ...

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 ...

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 ...

KANSAS CITY, MO, UNITED STATES, January 27, 2026 /EINPresswire.com/ — Onyx, the leading healthcare interoperability platform provider and 2025 Best in KLAS ® for ...

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 ...