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CMS announces national effort to modernize prior authorization

A photo of a woman pharmacist on the phone in front of shelves of medication.
Photo by David Benito/Getty Images

Shift to all-electronic PA system could save billions, ease provider burden, and create interoperable healthcare ecosystem for the 21st century, says CMS Administrator Oz.

A broad initiative to “modernize” the nation’s prior authorization (PA) system, aiming to reduce administrative delays and improve coordination between healthcare providers and insurers, has been announced by the Centers for Medicare & Medicaid Services (CMS).

The overhaul, outlined by CMS Administrator Dr Mehmet Oz, is intended to streamline