HHS Finalizes Rules to Revamp Prescription and Prior Authorization Process
Healthcare IT News
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Contributed by: Kate Gamble
Summary
The U.S. Department of Health & Human Services has finalized rules designed to enhance electronic prescribing and prior authorization processes, mandating real-time prescription benefit checks at the point of care. Developed in collaboration with key health technology offices, these rules require the adoption of FHIR certification for prior authorization and aim to streamline administrative burdens on clinicians. By increasing transparency in drug costs and improving patient access to care, these changes are set to significantly impact health IT systems and the workflows of healthcare providers, beginning in 2027 with new reporting requirements for the Medicare Promoting Interoperability program. This move underscores the ongoing shift towards more efficient, technology-driven healthcare delivery.
