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HHS Seeks Nominations for New Healthcare Advisory
What Is Electronic Prior Authorization (ePA) in Healthcare?
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Industry Watch
CMS Releases New Oversight Rules for Medicaid State-Directed Payments
CMS has released new guidance tightening federal oversight of Medicaid state-directed payments (SDPs) in managed care. The update centers on transparency, documentation, and measurable quality outcomes—signaling stronger guardrails on financing, distribution methodologies, and alignment with actuarial soundness and value-based care.…
Real-Time Drug Price Transparency Coming for U.S. Consumers
HHS has finalized a rule (HTI-4) to deliver real-time prescription drug price transparency at the point of care, giving clinicians and consumers visibility into patient-specific coverage, out-of-pocket costs, and prior authorization requirements through certified health IT. The move aims to…
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…
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