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 & Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations.
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 ...
The Centers for Medicare & Medicaid Services has proposed extending its electronic prior authorization and interoperability requirements to include prescription drugs, aiming for faster, more ...
The CMS is once again tackling prior authorization in its new rule proposed Tuesday. Prior authorization, a process in which a physician must get the green light from an insurer for medication or ...
On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require faster ...
CMS is requesting public feedback on the NDH concept and potential benefits, provider types, entities and data elements that could be included to create value for the healthcare industry, the ...
NEW YORK--(BUSINESS WIRE)--Vericred, a data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling ...
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