{"id":26409,"date":"2026-08-14T08:06:21","date_gmt":"2026-08-14T12:06:21","guid":{"rendered":"https:\/\/medicarereport.org\/?p=26409"},"modified":"2026-08-14T08:06:22","modified_gmt":"2026-08-14T12:06:22","slug":"where-prior-authorization-stands-and-where-data-still-falls-short","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=26409","title":{"rendered":"Where prior authorization stands \u2014 and where data still falls short"},"content":{"rendered":"\n<p>(By: Elizabeth Casolo for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>Prior authorization data is now public \u2014 but it is not giving much to work with.<\/p>\n\n\n\n<p>CMS\u2019 Interoperability and Prior Authorization Final Rule from 2024 focused on easing prior authorization across government-affiliated healthcare programs. Involved payers now have to report certain aggregated metrics, such as approval and denial rates.  Continue reading <a href=\"https:\/\/www.beckerspayer.com\/research-analysis\/where-prior-authorization-stands-and-where-data-still-falls-short\/\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/research-analysis\/where-prior-authorization-stands-and-where-data-still-falls-short\/\">here&#8230;<\/a><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By: Elizabeth Casolo for Becker&#8217;s Hospital Review) Prior authorization data is now public \u2014 but it is not giving much<\/p>\n","protected":false},"author":4,"featured_media":8434,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,21,200],"tags":[80,238,2085],"class_list":["post-26409","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cms","category-health-care-finance","category-health-insurance","tag-cms","tag-healthcare-finance","tag-prior-authorization-denials"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26409","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26409"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26409\/revisions"}],"predecessor-version":[{"id":26410,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26409\/revisions\/26410"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/media\/8434"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26409"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26409"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}