CMS is mandating that certain health plans adopt API-based electronic prior authorization (ePA) systems by January 1, 2027, following new 2026 turnaround time standards. Platforms like CoverMyMeds, ...

The Centers for Medicare & Medicaid Services has proposed a 2026 rule extending electronic prior authorization and interoperability API requirements to cover drugs in addition to non-drug services.

Healthcare data is an important resource patients can use to improve health outcomes for themselves and as part of research groups. This fact is driving the need for easier ways patients and providers ...

Payers are rightly reaching out to InterSystems with a host of implementation questions about the Prior Authorization API recently mandated by the Interoperability and Prior Authorization Rule ...

The push to give patients more control over their own medical information has taken many twists and turns over the years from patient portals to personal health records. At the HIMSS conference in Las ...

WASHINGTON, DC – Administrator Seema Verma urged health insurance companies to follow the Centers for Medicare and Medicaid Services' lead and make claims data more readily available. "We're at the ...

Looking to solve the problem of health record interoperability, this afternoon CMS unveiled a new pilot program dubbed “Data at the Point of Care” (DPC), which will employ an API to help give ...

WASHINGTON and SAN FRANCISCO, March 5, 2018 /PRNewswire/ -- As digital health care evolves, data becomes an important resource that patients can use to improve health outcomes for themselves, and as ...