Statement on CMS Proposed Rule Addressing Prior Authorization

By Blair Childs, Senior Vice President, Public Affairs

The Centers for Medicare & Medicaid Services (CMS) proposed rule will help reduce the inefficiencies and burdens that prior authorization places on patients and providers. Requiring the use of open FHIR-based application programming interfaces (APIs) and other interoperability standards, as well as increased data sharing between payors and providers, will streamline what is now a manual, burdensome and costly process that can lead to delayed care and patient harm. We urge the Biden Administration to continue and build on this work.

We are disappointed, however, that the proposed rule does not place these requirements on Medicare Advantage plans and urge Congress to close this key gap by passing the bipartisan Improving Seniors' Timely Access to Care Act of 2019 (H.R. 3107).

About Premier, Inc.

Premier, Inc. (NASDAQ: PINC) is a leading technology-driven healthcare improvement company, providing solutions to two-thirds of all healthcare providers in the U.S. Playing a critical role in the rapidly evolving healthcare industry, Premier unites providers, suppliers, payers and policymakers to make healthcare better with national scale, smarter with actionable intelligence and faster with novel technologies. Headquartered in Charlotte, N.C., Premier offers integrated data and analytics, collaboratives, supply chain solutions, consulting and other services in service of our mission to improve the health of communities. Please visit Premier’s news and investor sites on www.premierinc.com; as well as X, Facebook, LinkedIn, YouTube, Instagram and Premier’s blog for more information about the company.