Healthcare DIVE December 7, 2022
Rebecca Pifer

Dive Brief:

  • The CMS has issued a new rule meant to streamline prior authorization by requiring certain payers to implement an electronic prior authorization process and respond to requests more quickly.
  • The rule would also require payers to put in place standardized data exchange processes, to help them exchange data when a patient changes health insurers. If finalized, the policies would take effect in 2026.
  • The rule, which the CMS estimates will save hospitals and doctor’s offices more than $15 billion over 10 years, replaces one proposed in the final days of the Trump administration that was controversial with health insurers.

Dive Insight:

The CMS is once again tackling prior authorization in its new rule proposed Tuesday. Prior...

Today's Sponsors

Venturous
Got healthcare questions? Just ask Transcarent

Today's Sponsor

Venturous

 
Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer, Provider
Dr. Mehmet Oz Confirmed as CMS Administrator
Senate confirms Dr. Oz as CMS administrator: 3 things to know
Time To Reexamine The Role Of Supplemental Benefits In Medicare Advantage
Senate Confirms Dr. Mehmet Oz as CMS Administrator
Implementation of New Federal Rules and Policies in Medicaid

Share This Article