CMS Finalizes e-Prior Auth Rule; Proponents Look To Congress For Next Steps

CMS on Wednesday (Jan. 17) finalized a much-lauded prior authorization rule that establishes an electronic prior authorization system, halves the decision-making timeframe for prior authorization requests, and requires payers to set up an interface to share clinical and claims data as patients change from one plan to another. Prior authorization reform has been at the top of the to-do list for both lawmakers and HHS leadership in recent months. Lobbyists previously told Inside Health Policy the new final rule...