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

The effort, part of the agency’s ambitious Health Tech Ecosystem, aims to accelerate the industry’s progress before ...

A slew of provider and tech organizations have signed on to the Centers for Medicare and Medicaid Services’ push for the ...

Reforming prior authorization processes has been on the regulatory menu for a while. Both patients and providers have argued that prior ...

Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.

From SCRIPT standards to AI copilots: the road ahead CMS’s final rule mandates the NCPDP SCRIPT 2023011 standard for Medicare Part D e-prescribing by 2028, replacing the 2017071 version. The standard ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

A majority of physicians say the prior authorization process continues to negatively impact patient outcomes and employee ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

UnitedHealthcare plans to eliminate prior authorization requirements for 30% of services by the end of 2026.