The Centers for Medicare & Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization Final Rule (Final Rule) on Jan. 17, 2024. The Final Rule continues CMS' efforts to ...

Last month, CMS published its Interoperability and Prior Authorization final rule, which applies to Medicare Advantage organizations, state Medicaid and Children’s Health Insurance Program plans, ...

The rule is part of the Biden administration's initiative to increase health data exchange and investing in interoperability, CMS announced. It would apply to MA organizations, state Medicaid and ...

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 ...