Epic, Sanford among companies joining CMS prior authorization effort

▤ Summary

CMS is promoting a new electronic prior authorization plan to take effect ahead of 2027 and has recruited vendors and health systems to join the effort. Epic and Sanford are among the organizations participating, signaling vendor and provider buy-in for electronic workflows. The initiative aims to streamline prior authorization processes, reduce administrative burden, and better integrate approvals with EHR and payer systems. Expect impacts across EHR vendors, revenue cycle operations, and insurer/provider interactions as stakeholders prepare for the new standard.

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