Tampa, FL  – September 24th, 2025 – As sweeping prior authorization reform measures gain momentum at both the federal and state levels, healthcare payers are seeking reliable, expert guidance to navigate these complex changes. BHM Healthcare Solutions (BHM), a nationally recognized Independent Review Organization (IRO) and healthcare consulting partner, is stepping up to meet this need with proven expertise, scalable solutions, and a dedicated resource hub for industry leaders.

Prior authorization has long been a pain point for providers, payers, and patients alike. In January, the Centers for Medicare & Medicaid Services (CMS) finalized new rules designed to streamline the prior authorization process, reduce administrative burden, and improve patient access to care. These rules include provisions for electronic prior authorization (ePA), faster turnaround times, and greater transparency for both patients and providers.

“Healthcare organizations are under pressure to comply with new regulations while also protecting financial performance and patient outcomes,” said Eric Rosenberg, CEO of BHM Healthcare Solutions. “Our team brings the depth of knowledge and operational expertise needed to help payers not just meet these requirements but also turn reform into an opportunity for innovation and improved member experiences.”

BHM’s Prior Authorization Reform Resource Center provides up-to-date insights, downloadable tools, and practical strategies to help payers adapt to the evolving regulatory landscape. This comprehensive hub covers topics such as:

• Federal and state regulatory updates and timelines
• Best practices for implementing electronic prior authorization
• Strategies to reduce administrative waste and costs
• Member-focused solutions to enhance provider relations and care access

Mary McCormick, VP of Sales & Account Management at BHM, emphasized the importance of proactive adaptation:

“Waiting until compliance deadlines are looming puts organizations at risk. We work side by side with payers to build scalable processes, reduce delays, and deliver measurable outcomes that benefit both the plan and its members.”

BHM’s multidisciplinary team of clinical reviewers, compliance specialists, and operational consultants supports health plans of all sizes, offering services such as:

• Utilization management review services with turnaround times exceeding 99.8% on-time delivery
• Utilization management consulting to align processes with reform requirements
• Training programs for staff adoption of new workflows and technologies
• Custom reporting and analytics to monitor performance and compliance

As prior authorization reform reshapes the healthcare payer landscape, BHM is committed to helping organizations achieve regulatory compliance while driving efficiency and improving patient care access.

For more information and to explore BHM’s Prior Authorization Reform Resource Center, visit https://bhmpc.com/prior-authorization-reform/.