This final rule emphasizes the need to improve health information exchange to achieve appropriate and necessary access to health records for patients, healthcare providers, and …

CMS states the goal of this final rule is to “improve the electronic exchange of health care data, as well as to streamline prior authorization processes” for both payers and providers. …

The CMS Interoperability and Patient Access Final Rule covers policies that regulate a variety of stakeholders. The overall aim of this rule is to enable seamless interoperability throughout the …

Jan 31, 2024 · CMS has issued a helpful slide deck summarizing the Final Rule. We provide our key takeaways below, followed by a summary of the Final Rule’s provisions.

Feb 8, 2024 · These policies, taken together, will reduce overall payer and provider burden and improve patient access to health information while continuing CMS's drive toward …

Apr 3, 2024 · Starting Jan. 1, 2027, payers must implement and maintain a payer-to-payer API to make the same data available to other payers.

Jan 25, 2024 · The Final Rule continues CMS' efforts to encourage interoperability and availability of electronic health information. The rule smooths the path for the Improving Seniors' Timely …

CMS is finalizing its proposal to require impacted payers to provide patients, through the Patient Access API, with access to information about prior authorization requests and decisions made …

Jan 21, 2025 · What Are the Key Takeaways from the Final Rule? The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) is a significant step toward improving how …

The rule is a big step for increased federal scrutiny over payer practices surrounding prior authorization. The following includes a summary of the rule’s major provisions and when they …