The Centers for Medicare & Medicaid Services (CMS) recently published the CMS Interoperability Standards and Prior Authorization for Drugs proposed rule (CMS-0062-P), which includes important proposals to streamline drug prior authorization and modernize health data exchange.

This rule builds on prior CMS interoperability efforts and proposes to:

• Require impacted payers to support electronic prior authorization for drugs
• Improve timeliness of prior authorization decisions
• Increase transparency into the drug prior authorization process
• Advance the use of modern health IT standards, including HL7® FHIR®

To help the public better understand these proposals and their potential impact, CMS will host an informational webinar on Thursday, April 16 at 12:00 PM EDT.

The webinar will provide an overview of the proposed rule and highlight key provisions, including proposed updates to interoperability standards and prior authorization requirements.

Register here.

We encourage all interested parties to attend and learn more about how these proposals may affect patients, payers, providers, and the broader health care system.

Questions? Email CMSInteroperability@cms.hhs.gov.

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