Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...
HHS is proposing to adopt certain HL7 FHIR standards and implement specifications for transactions related to prior ...
Drugs were left out of a 2024 rule streamlining prior authorizations by making decisions electronic and requiring payers to ...
Issued Friday, the proposed rule also would require full disclosure of claims denials and appeals outcomes, according to a ...
In a move that could give patients quick access to drugs their doctors prescribe, the U.S. CMS is proposing a rule giving insurers no more than 24 hours to respond to urgent prior authorization ...
A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare ...
CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule ...
The fifth annual Abarca Forward conference, hosted by the pharmacy benefit manager (PBM) Abarca Health at its headquarters in ...
The platform addresses the health data challenge at its source by using its novel AI to clean, organize, and interpret structured and unstructured data--including PDFs and images--making it ...
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