The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...
The Company's Growing Network of Payer and Provider Endpoints Sets New Standard for Healthcare Interoperability at Scale ...
The Centers for Medicare & Medicaid Services is launching a new initiative aimed at accelerating adoption of electronic prior ...
The proposed rule on interoperability standards and prior authorization could lead to significant change in CMS. Prior authorization has become one of the clearest points where administrative ...
CMS has proposed a 2026 rule extending electronic prior authorization and interoperability requirements to drugs, building on earlier mandates for non-drug services. The proposal adds small group ...
On April 10, 2026 (and officially published in the Federal Register on April 14, 2026), CMS published a proposed rule that would expand electronic prior authorization requirements, modernize HIPAA ...
On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule[1] that would require faster prior authorization (“PA”) decisions, expand electronic PA to drugs, ...
As of February, a share of payers and providers had not yet started working toward the application programming interface requirements established by CMS’ interoperability and prior authorization final ...
BOSTON, MA / ACCESS Newswire / January 14, 2026 / 1upHealth, a leader in health data interoperability, today announced that Advanced Health, a Coordinated Care Organization in Oregon, will leverage ...
Learn how investment in IT infrastructure mandated by CMS-0057 can be a catalyst for advancing health plan priorities and improving care. Ensuring your investment in IT infrastructure mandated by ...
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 ...
The Centers for Medicare & Medicaid Services has proposed a 2026 rule extending electronic prior authorization and interoperability API requirements to cover drugs in addition to non-drug services.