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New HHS Rule Will Allow Doctors to Manage Prior Authorization Entirely Within EHR Systems
The new HHS rule, effective Oct 1, 2025, aims to reduce treatment delays and save billions in administrative costs by enabling electronic prior authorizations and price transparency.
- On September 2, 2025, the U.S. Department of Health and Human Services announced a final ASTP/ONC rule effective October 1, granting doctors and patients real-time access to prescription drug prices and prior authorization requirements.
- Following a June 2025 meeting, major health insurers covering nearly eight in 10 Americans pledged reforms that informed the new rule, alongside Secretary of Health and Human Services Robert F. Kennedy, Jr. and CMS Administrator Dr. Mehmet Oz.
- Under the final rule, certified health IT systems must enable health care providers to submit prior authorizations electronically and exchange prescription data with pharmacies and insurance plans, letting prescribers compare drug prices in real time and identify lower-cost alternatives for Medicare Part D patients.
- Officials say the reform will reduce treatment delays, cut administrative burdens frustrating patients and providers, and prevent health insurers from blocking physician-approved care while aiding clinicians in identifying cost-effective treatments.
- The move builds on recent CMS efforts and complements policies expanding nationwide interoperability for patients, health care providers, and payers, ASTP/ONC says.
11 Articles
11 Articles
New HHS rule will allow doctors to manage prior authorization entirely within EHR systems
HHS announced a final rule that will help physicians identify the most appropriate treatments while preventing health insurers from blocking physician-approved care, according to an agency press release.The rule, set to go into effect Oct. 1, will allow health care providers using certified health information technology systems to “submit prior authorizations electronically, select drugs
Real-Time Drug Pricing Available to Medicare Providers in October
Medicare patients will have access to real-time prescription drug pricing and streamlined prior authorization decisions starting in October, the Department of Health and Human Services (HHS) announced Sept. 2. That’s enabled by a new regulation that allows doctors with certified information technology systems to obtain up-to-the-minute pricing information. Providers will also be able to submit prior authorization requests to insurers electronica…
Americans To Gain New Access To Real-Time Prescription Drug Price Information
The Trump Administration announces new changes to ease approval of treatments and inform patients up front of the most appropriate and lowest cost prescription drugs. The U.S. Department of Health and Human Services (HHS) today announced a new rule that will provide unprecedented, real-time access to prescription drug information for doctors and patients. Taking effect […] Americans To Gain New Access To Real-Time Prescription Drug Price Informa…
Americans to Gain Real-Time Access to Prescription Drug Price Information Starting October 1
WASHINGTON, D.C. — September 2, 2025 — Millions of Americans will soon have new access to real-time prescription drug price information under a federal rule set to take effect October 1, U.S. Department of Health and Human Services (HHS) officials announced Tuesday. The reform is designed to make health care more transparent and affordable by […] The post Americans to Gain Real-Time Access to Prescription Drug Price Information Starting October …
HHS announces access to real-time drug pricing, changes to prior authorization
The Department of Health and Human Services today announced prescription drug reforms that will become effective Oct. 1 originating from the Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization (HTI-4) final rule. Health IT tools certified by the HHS Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology wil…
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