The Critical Importance of Payer-Provider Collaboration Goes Beyond Prior Authorization

The Biden administration’s CMS Interoperability and Prior Authorization Final Rule is intended to accelerate prior authorization processes. This move comes as a response to the increasing need for streamlined authorization processes. The legislation mandates transparency in denied prior authorization decisions and the use of technology, specifically AI, to improve decision-making and efficiency. Adoption of this technology is expected to encourage collaboration between providers and payers, ultimately leading to faster processes and improved standard of collaboration.