Latest prior authorization reform shows insurer commitments and CMS rules improving processes for 257 million Americans in 2026.

UnitedHealthcare will drop prior authorization requirements for 30% of services by the end of 2026, aligning with a broader ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

The Centers for Medicare & Medicaid Services has proposed a 2026 rule extending electronic prior authorization and interoperability API requirements to cover drugs in addition to non-drug services.

The Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability rule, or HTI-2, doesn’t feature a number of provisions included in the ...

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

Vanderbilt University Medical Center has assembled a cross-functional team to help ensure the Nashville, Tenn.-based health system is prepared to comply with HHS’ new interoperability rules Nov. 1.

The Department of Health and Human Services (HHS), through the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP/ONC), has released a ...

The health IT arm of the Department of Health and Human Services finalized a rule this week that federal leaders say will remove red tape and enable faster prior authorization and real-time ...

Healthcare and technology groups want Medicare Advantage plans included in the Centers for Medicare and Medicaid Services' proposed rule to expand access to health information and improve the prior ...