New Prior Authorization Proposal Is Likely Here to Stay

Building on previously finalized regulations aimed at advancing data interoperability in health care, CMS on Dec. 10 proposed a new rule that would require certain health plans to make their prior authorization processes more efficient and share even more data with providers and patients.

Although the proposal is arriving in the waning days of the Trump administration, it will likely survive the transfer of executive power, one health policy expert tells AIS Health. As for the affected health plans, complying with the new directives probably won’t take a herculean effort considering they’re already doing so much to modernize their data systems to align with the new interoperability mandates, another expert says. However, preparing to comply with all the new requirements is going to be challenging.

0 Comments
© 2024 MMIT
Leslie Small

Leslie Small

Leslie has been reporting and editing in various journalism roles for nearly a decade. Most recently, she was the senior editor of FierceHealthPayer, an e-newsletter covering the health insurance industry. A graduate of Penn State University, she previously served in editing roles at newspapers in Pennsylvania, Virginia and Colorado.

Related Posts

doctor-looking-at-screen
March 22

New Billing Codes Led to Explosion of Patient-Messaging Claims

READ MORE
businessman-viewing-news-update-journalism-headline-on-a-laptop
March 22

News Briefs: ACA Plan Signups Totaled 21M During 2024 Open Enrollment

READ MORE
magnifying-glass
March 22

GAO Urges CMS to Collect Better Data on Appeals, Grievances in Managed Medicaid

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today