The updated CMS regulations on prior authorization have been lauded as a significant step toward reducing administrative burdens for physicians. However, critics argue that the changes fall short of addressing the broader issues. Accelerating Prior Authorization and Enhancing Transparency Issued in January, these regulations mandate federally regulated health plans to enhance electronic health information exchange […]
Prior Authorization Reform, a lengthy and often frustrating process for payers to control costs, remains a major challenge for doctors. A recent AMA survey of 1,001 physicians found that 89% of physicians believe prior licensure hurts clinical practice. A surprising 33% said the worst things, such as death or hospitalization, were rights-related. The AMA recognized […]
The Interoperability and Prior Authorization Final Rule (CMS-0057-F) aims to streamline the prior authorization process, reducing delays in patient care and lowering administrative costs. Finalized by CMS on January 17, 2024, this rule is expected to save approximately $15 billion over the next decade by reducing burdens on patients, providers, and payers. Key Impacts of […]