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 ...

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 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 ...

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 ...

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.

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) ...

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 ...

The Trump administration has issued a proposed rule that aims to significantly overhaul prior authorization for pharmaceuticals. Through the Interoperability Standards and Prior Authorization 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 ...

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

b.well's FHIR-based infrastructure, semantic interoperability capabilities, and consumer-centered user experience align with CMS's vision for modern healthcare data exchange BALTIMORE, July 30, 2025 ...