The healthcare sector is set to see a boost in efficiency with the recent finalization of the Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit, and Electronic Prior Authorization final rule. This rule, also known as the HTI-4 rule, aims to reduce administrative burden on providers by updating health IT certification criteria for electronic prior authorization, electronic prescribing, and real-time prescription benefit checks.
One of the key objectives of the HTI-4 rule is to streamline the prior authorization process, which has long been a pain point for clinicians. By introducing new criteria for software certification, the regulation seeks to automate some of the administrative work involved in prior authorization requests. This includes allowing providers to request coverage information from payers, streamline data collection for authorization requests, and submit requests through their IT systems.
In addition to prior authorization updates, the HTI-4 rule also includes criteria for real-time prescription benefit information and electronic prescribing. Providers and patients will now have access to drug prices, out-of-pocket costs, and prior authorization requirements in real-time, making it easier to make informed decisions about medications.
The HTI-4 rule is part of a series of interoperability regulations that have been released in recent years. By incorporating provisions from previous proposals and updating criteria for health IT certification, the rule aims to drive innovation and improve the overall quality of care in the healthcare sector.
Overall, the HTI-4 rule is expected to result in significant labor cost savings over the next decade, while also addressing the challenges faced by providers in navigating the complex landscape of healthcare IT. With a focus on efficiency and interoperability, this regulation represents a step forward in modernizing the healthcare industry and improving patient outcomes.
