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CMS Includes MAOs in Data Exchange and Prior Authorization Requirements

Healthcare Law Blog

Specifically, CMS proposes that, beginning January 1, 2026, impacted payers would be required to: Implement and maintain a FHIR PARDD API using technology conformant with certain standards and implementation specifications in 45 CFR 170.215. CMS is not proposing to apply these requirements to drugs that are covered by the MAO.

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Healthcare Reforms Under the IRA: Expanding Access to Care

Healthcare Law Blog

The first list of up to 10 Part D negotiation-eligible drugs will be published in 2026, the earliest “price applicability date” at which the Program takes effect. The drug publication date for 2026 will be chosen by September 1, 2023. Additional updates of note include: ACA Premium Tax Credit Eligibility. Other Updates.

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Health Provider News – January 27, 2023

Hall Render

to revisit whether to set limits for numbers of patients assigned to a nurse Tufts spent $70M on EHR install Wait times for long-term psychiatric care span months for some patients Health care leaders applaud appointment of Kate Walsh as Massachusetts health secretary As ER waits stretch for days, Mass.