Agency Proposes Rule to Enhance Interoperability and Streamline Prior Authorization; Includes New Data Exchange Requirements and 5 RFIs

Agency Proposes Rule to Enhance Interoperability and Streamline Prior Authorization; Includes New Data Exchange Requirements and 5 RFIs

The Centers for Medicare and Medicaid Services (CMS) released a proposed rule to improve the electronic exchange of health care data and streamline prior authorization (press release; fact sheet).  The regulations apply to Medicare Advantage (MA) organizations, Medicaid and CHIP fee-for-service (FFS) programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally… (McClurg, December 6, 2022) #Health Information Technology