Application Programming Interfaces

CMS Finalizes Payer Requirements to Streamline Prior Authorization

January 17, 2024 - CMS has finalized requirements for payers to streamline the prior authorization process and improve the electronic exchange of health information to help limit patient care disruptions. The CMS Interoperability and Prior Authorization Final Rule includes policies for Medicare Advantage organizations, Medicaid and the Children’s Health...


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What the Prior Authorization Proposed Rule Means for Payers

by Victoria Bailey

The CMS Advancing Interoperability and Improving Prior Authorization Processes proposed rule introduces new requirements for healthcare payers that aim to enhance patient data sharing and streamline...

CommonWell Mobilizes to Support Payer Interoperability Compliance

by Kelsey Waddill

CommonWell Health Alliance announced that it is expanding its interoperability services, a move which could support payers struggling with interoperability compliance related to the new CMS...