CMS is mandating that certain health plans adopt API-based electronic prior authorization (ePA) systems by January 1, 2027, following new 2026 turnaround time standards. Platforms like CoverMyMeds, ...
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.
Healthcare data is an important resource patients can use to improve health outcomes for themselves and as part of research groups. This fact is driving the need for easier ways patients and providers ...
Payers are rightly reaching out to InterSystems with a host of implementation questions about the Prior Authorization API recently mandated by the Interoperability and Prior Authorization Rule ...
The Medicare Access and CHIP Reauthorization Act, or MACRA, is coming soon, and with it CMS's Quality Payment Program, which requires providers who bill Medicare more than $30,000 a year to report ...
The Centers for Medicare and Medicaid Services is flipping the switch on a service that lets Medicare beneficiaries more easily download and share their health data. The Centers for Medicare and ...
Healthcare data is an important resource patients can use to improve health outcomes for themselves and as part of research groups. This fact is driving the need for easier ways patients and providers ...
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