HHS is proposing to adopt certain HL7 FHIR standards and implement specifications for transactions related to prior ...
Step therapy, commonly referred to as ”fail first”, was designed to control costs by requiring patients to try lower-cost therapies before accessing the treatment originally prescribed. In theory, it ...
The proposed rule would also make the Comprehensive Care for Joint Replacement (CJR) Model mandatory beginning on October 1, 2027.
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