Prior authorization data goes public as health systems test real-time checks through Epic
Insurers' 2025 prior authorization data is now public, and the CMS Interoperability and Prior Authorization final rule gives stakeholders guidance. Health systems are testing real-time prior authorization through Epic.
Who is affected and how
- hospital manager
- Hospital leaders can use the public authorization data in negotiations with insurers and when redesigning workflows.
- health IT
- The CMS rule and real-time checks are reshaping priorities for integrating EHRs with payers.
- health policy
- The rule's practical impact can now be measured from the public data.
Sources
- Prior Authorization Data Is Finally Public. Health Systems Should Treat It as an Operating System. | VHealthvhealth.ai · Aug 17, 2026
- R1 to acquire Humata Health for AI prior authorization pushbeckershospitalreview.com · Aug 18, 2026
- TowerBrook, CD&R-backed R1 to acquire prior-authorization AI firm Humataprivateequityinternational.com · Aug 18, 2026
- R1 to Acquire Humata Health to Expand AI-Powered Prior Authorizationhlth · Aug 19, 2026
- CMS tech rules and AI benefits for primary care, patients and ‘touchless’ prior authsmedical economics · Aug 21, 2026
- CMS tech rules and AI benefits for primary care, patients and ‘touchless’ prior auths - PCCthepcc.org · Aug 21, 2026
- Health systems test real-time prior auths through Epic | TechTargettechtarget.com · Aug 17, 2026
Machine-generated summary based on the titles and excerpts of the source articles. The source article is the authority for the facts. News monitoring, not medical advice: consult a doctor for health decisions.