On June 23, 2025, Health & Human Services (HHS) Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz, announced a...
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...
10 Things Payers Need to Know About Electronic Prior Authorization
By Jocelyn Keegan, Payer Practice Lead
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
Well-Intentioned CAQH Releases PA Operating Rules for Disappointing X12 278
By Ken Kleinberg, Practice Lead, Innovative Technologies
Electronic Prior Authorization On the Radar to Improve Medication Access
by Tony Schueth, CEO & Managing Partner
Beyond the AI Hype: Practical Applications to Augment Medication Management Decisions - Part 2
By Michael Solomon, Ph.D., MBA
Opioid Management and Electronic Prior Authorization Among Key State and Federal Legislative Initiatives
By Keith Fisher, R.Ph. Co-lead of the Regulatory Resource Center
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