Summary of ACAP Webinar “Your questions about the new CMS rule answered live”
How prepared is your plan for the upcoming regulatory changes to prior authorization? Health plans have many questions about what to do to ensure compliance before the rule goes live on January 1, 2026. The proposed CMS rule (CMS-0057-P) aims to improve transparency, reduce physician burden, and lead to faster patient access to care.
Join three experts on the cutting edge of intelligent prior authorization to explore the answers to real questions health plans are asking us. After the lightning round of the most pressing questions, you’ll have a chance to quiz our panel about your most significant compliance concerns. You won’t want to miss this timely session – the time to start planning for compliance is now.
What you’ll learn in this session:
- How to comply with the new FHIR-based APIs and interoperability standards
- How technology can fast-track your turnaround time (TAT) efficiency and compliance
- How to meet and surpass upcoming transparency requirements
- How to ensure accountability by publishing all CMS-required prior authorization metrics
Speakers:
- Alina Czekai, Vice President, Strategic Partnerships,
- Mary E. Krebs, MD, FAAFP, Associate Medical Director
- Sam Stearns, Vice President, Payer Solutions
- Adrian Thomas, MD, FAAOS, Associate Medical Director
About Cohere Health
Cohere is a clinical intelligence company that is transforming utilization management (UM) by aligning physicians and health plans on evidence-based care paths for the patient’s entire care journey. By integrating these care paths into the prior authorization submission process, Cohere’s digital UM collaboration platform reduces denial rates and medical expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare’s Fierce 15 and CB Insights’ Digital Health 150 lists. Cohere’s investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.
