The Centers for Medicare & Medicaid Services (CMS) has finalized the Interoperability and Prior Authorization rule, which was initially proposed in December 2022. This rule establishes metrics for Medicare Advantage (MA) and Medicaid plans to respond to prior authorization requests within specific timeframes. The Biden administration's move is designed to improve the efficiency of the health care system, granting patients timely access to necessary care and allowing clinicians to focus on providing that care. Additionally, the Trusted Exchange Framework and Common Agreement (TEFCA) is expected to support the scalability of payer and provider Fast Healthcare Interoperability Resources (FHIR) APIs, with CMS expressing congratulations to Alexandra Mugge for advancing interoperability.
Congratulations to @carevisohealth on enrolling 200,000 providers for prior authorization support! This is a major milestone in its mission to bring more transparency and efficiency to healthcare! https://t.co/8KYcLoVoKj
The Biden administration took a step to streamline insurers' prior authorization process, responding to doctor and patient concerns. https://t.co/2VswxUf3Bt https://t.co/6NYLD1xZrn
⚠️ US GOVT SETS RULE MEANT TO SPEED UP INSURANCE APPROVALS (Reuters) U.S. President Joe Biden's administration on Wednesday finalized a rule requiring health insurers to set time targets for the prior authorization process for patients seeking approval for medical services… https://t.co/9Ab5A1WFqp
Today, @CMSGov finalized the CMS Interoperability and Prior Authorization Final Rule to promote efficiency in the health care system so people have timely access to needed care, and clinicians can focus on providing that care. https://t.co/AM5SHrZtdt https://t.co/vZO11vQjJF
We are so excited to share that our provider team has enrolled over 200,000 providers for #priorauthorization support! Read the press release to learn more about this milestone and how careviso is supporting #healthcare providers. https://t.co/iymKc0LTgS https://t.co/5diisxznCv
CMS released its long-awaited prior authorization rule. The metrics for MA and Medicaid plans to answer prior authorization requests are the same as the rule proposed back in Dec. 2022. https://t.co/RinTelDigf
CMS has released Interoperability and Prior Authorization Final Rule! Excited for #TEFCA to support scalability of payer and provider #FHIR APIs! Huge thanks and congratulations to @AMugge for moving interoperability forward! https://t.co/Eit7YfoaDE https://t.co/vzZWWwcmZB https://t.co/EwLX7NclbW