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Repeated Asks for Patient Care Authorization to Ebb Under Rule

Jan. 15, 2021, 1:53 PM

Obamacare, Medicaid, and children’s health plans will be required to bundle all patient information into a package for other doctors to use under a final rule issued Friday by the Centers for Medicare & Medicaid Services.

Patients also should have access to their profile under the rule, which should reduce repeated requests for prior authorization—a common bureaucratic hurdle in the U.S. health system. The CMS’s action is part of an ongoing effort by the Health and Human Services Department to ensure a smooth transfer of patient data among hospitals and doctors.

The rule says patient profiles must include claims and ...

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