Yearly adjustments in healthcare policies are the norm, with some years marking more notable changes. Among these, the Centers for Medicare & Medicaid Services (CMS) consistently...
Navigating Regulatory Compliance and Innovation in Payer Technology
Healthcare technology policy, especially rules impacting payers, are coming at us at a fast and furious pace coupled with new enforcement teeth. Executives and leaders in payer...
HHS Proposed Rule to Standardize Attachments: A Step Back from Automation
On December 21, 2022, the Department of Health and Human Services (HHS) issued a proposed rule that would regulate standards for health care attachment transactions. These include...
Recap of the Changes to Medicare Advantage and Medicare Prescription Drug Benefit Proposed Rule
Our December 20 blog shared highlights from the CMS proposed rule for Advancing Interoperability and Improving Prior Authorization Processes, intended to improve patient and...
Highlights of the Advancing Interoperability and Improving Prior Authorization Processes Notice of Proposed Rulemaking (NPRM)
Reading and analyzing proposed rules is a necessary, albeit time consuming task. In order to help healthcare stakeholders, we’ve compiled some highlights of what is included in...
Don’t Delay! Prepare for CMS PA & Burden-Reduction Rule Now
The prior authorization process has long been a thorn in the proverbial side of healthcare. Providers, payers, and patients (perhaps most of all) have come to regard this...
Diving Deeper into CMS’ Proposed Rule on Electronic Prior Authorization for Medicare Part D Drugs
By Jocelyn Keegan, Payer Practice Lead, and Ken Kleinberg, Innovative Technologies Practice Lead
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