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January 2027 Is Closer Than It Looks: How the Prior Authorization Rule Turns Payers Into API Builders
Ask anyone who has worked in a clinic about prior authorization and you will probably hear a sigh. A physician orders a medication, the payer requires approval, and the request travels by fax, phone call, or a portal that does not talk to the electronic health record. Days or weeks can pass. A federal rule finalized in early 2024 is designed to change that, and the deadline for its most...
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