CMS to Streamline Prior Authorizations

December 17, 2020

Prior authorization is a key utilization management strategy many healthcare payers use to ensure patients access the most clinically and cost-effective medication available to them. When a drug has prior authorization requirements, the provider must submit certain documents to a healthcare payer to receive permission before prescribing the drug.

https://ehrintelligence.com/news/cms-proposes-rule-to-streamline-prior-authorization-data-exchange