Becker's Healthcare January 15, 2021
CMS issued several rules, actions and plans since Jan. 1. The actions include updates on payer rules, physician payment and technology coverage.
Here’s a breakdown of the 13 actions, beginning with the most recent:
1. CMS finalized a rule Jan. 15 to simplify prior authorizations and create a better exchange of healthcare data between payers, providers and patients. The rule requires payers in Medicaid, Children’s Health Insurance Program and Qualified Health Plans to build application programming interfaces to ease data exchange and prior authorizations. Read more here.
2. CMS released a final rule Jan. 15 that aims to lower cost-sharing for pricey prescription drugs for Medicare Advantage and Part D enrollees. CMS estimates the changes, most of which are effective...
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