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

CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization, and confirmed the launch of a controversial ...

The Company's Growing Network of Payer and Provider Endpoints Sets New Standard for Healthcare Interoperability at Scale BOSTON, MA / ACCESS Newswire / May 12, 2026 / 1upHealth, a leader in health dat ...

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

CMS has added electronic prior authorization to its Health Tech Ecosystem. The agency says health systems, hospitals, ...

The Workgroup for Electronic Data Interchange (WEDI) has released the results of its most recent survey assessing industry readiness to meet the requirements of the Centers for Medicare and Medicaid ...

The Centers for Medicare & Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrator Mehmet Oz, M.D., said ...

As of February, a share of payers and providers had not yet started working toward the application programming interface requirements established by CMS’ interoperability and prior authorization final ...

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, ...

Healthcare and technology groups want Medicare Advantage plans included in the Centers for Medicare and Medicaid Services' proposed rule to expand access to health information and improve the prior ...

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. November 4, 2025 – Trick or treat! On Halloween evening, the Centers for Medicare & Medicaid Services ...