Health Payer Intelligence January 15, 2021
The final rule prioritizes data sharing to ensure quality coordinated care and access to health information as part of CMS’ focus on interoperability.
Today, the Centers for Medicare & Medicaid Services (CMS) passed a final rule that promotes data sharing, patient access to health information, coordinated care, and interoperability to streamline the prior authorization process.
The rule is the next phase of CMS interoperability rulemaking, aimed at improving data exchange while reducing provider and patient burden.
The “CMS Interoperability and Prior Authorization” rule will allow certain payers, providers, and patients to have electronic access to pending and active prior authorization decisions. This is expected to cut back on repeated requests for prior authorizations, thereby reducing costs and administrative burden so...
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