
The new CMS rule aiming to streamline prior authorization signals a major step forward for primary care, but the process could still use some improvement, according to experts.
CMS finalized the Interoperability and Prior Authorization Final Rule in January, stating in a press release that the changes will modernize the United States health care system and streamline the prior authorization process. The changes will go into effect Jan. 1, 2026, and CMS has estimated that they will result in approximately $15 billion in savings over the next decade.
“We’re thrilled they finally