New HHS rule will allow doctors to manage prior authorization entirely within EHR systems

Key takeaways:

HCPs will be able to submit prior authorization requests electronically, streamlining care.

They will also be able to access information on patients’ out-of-pocket costs and compare drug prices before prescribing.

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 consistent with a patient’s insurance coverage, and exchange electronic prescription information with pharmacies and insurance plans,” the release said.

HCPs will be able to