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Ready for the New CMS Prior Authorization Rules? Here’s What’s Coming…

For example, in 1970 the annual cost of care was $353 per person, but today that number has jumped to $12,914. A recent report showed that one-third claimed that prior authorizations led to serious adverse events – including hospitalization, permanent impairment, or even death – for at least one of their patients. A new CMS rules target the electronic exchange of healthcare data to speed up processing times and create greater transparency. Proactively planning improvements with your technology that target these workflows is a good way to move into compliance faster. But payers can reduce this challenge by considering whether the technology they use is as efficient as it could be and if there’s an opportunity to save time and money. 

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