Where prior authorization stands — and where data still falls short

Prior authorization data is now public — but it is not giving much to work with. CMS’ Interoperability and Prior Authorization Final Rule from 2024 focused on easing prior authorization across government-affiliated healthcare programs. Involved payers now have to report certain aggregated metrics, such as approval and denial rates. Data covering 2025 went live March […] The post Where prior authorization stands — and where data still falls short appeared first on Becker's Payer Issues | Payer...

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