The Prior Auth Landscape
Your Guide to Prior Auth Regulation
Blog
The Prior Auth Impact Meter
We hear every day about a new proposed “solution” that will fix prior auth. Check out our Prior Auth Impact Meter, which decodes all of these proposed fixes so that provider organizations know what is signal versus noise.
Blog
CMS-0057-F Prior Authorization and Interoperability Final Rule: What Providers Need to Know
After much uncertainty and many piecemeal regulatory updates, we are on the cusp of a larger shift with CMS-0057-F, which attempts to standardize prior auth processes and increase transparency about payer ruling patterns. Here’s what you need to know about the CMS prior authorization rule—including our perspective on how much this regulation will (or won’t) affect prior auth pain points.
Dr. Steve Kim
Co-Founder & CEO
Valer
Michele Madison
Partner
Morris, Manning & Martin
Tim Holland
Director of People & Culture
The Wilshire Group
Evan Martin
Director of Advisory Services
The Wilshire Group
Webinar
Prior Authorization Regulation: Facts & Future for Patients, Providers, and Payers
Watch our webinar for a deeper dive into the scope and status of prior authorization regulation at the state and federal level.
As part of our mission to simplify and speed prior auth submissions, we are closely tracking the regulatory landscape.
Talk to our team today to learn more about our solution or ask any questions you have about CMS-0057-F or other regulation.
