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Industry Watch
HHS Seeks Nominations for New Healthcare Advisory
HHS and CMS are creating the Healthcare Advisory Committee, a group of experts tasked with providing strategic recommendations directly to HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz. The goal: improve how care is financed and…
Congressional Scrutiny Intensifies Over CMS’ WISeR Model and Prior Authorization in Traditional Medicare
The Centers for Medicare & Medicaid Services’ (CMS) WISeR model (originally designed to streamline utilization management and prior authorization processes) is facing renewed attention from lawmakers. A bipartisan congressional letter sent to CMS questions the agency’s legal authority to apply…
HHS Finalizes New Rules to Streamline E-Prescribing and Prior Authorization
The U.S. Department of Health and Human Services (HHS) has finalized pivotal regulations designed to streamline e-prescribing and prior authorization processes. These new rules aim to enhance interoperability, reduce administrative burdens on healthcare providers, and improve patient care outcomes. As…