What CMS’ 2027 AI rule means for prior authorization (and maybe for fax machines)

The January 1, 2027 implementation deadline for CMS-0057-F compliance is fast approaching. To meet the rule's final interoperability requirements, health plans have been moving away from outdated manual processes and adopting electronic prior authorization (PA) systems. Beyond baseline compliance, the rule presents a real market opportunity for forward-thinking plans to responsibly deploy AI, reduce provider burden, and accelerate patient access to the care they need.

The continued shift to electronic PA raises important questions, including how it will impact physicians, address technology skepticism, and ensure seamless adoption by health plans. In an interview with Medical Economics, Dr. Brian Covino, chief medical officer for Cohere Health, offers insights into these changes and how they're reshaping healthcare operations.

Key points discussed:

• The operational and administrative implications of transitioning to standardized electronic prior authorization
• How streamlining prior authorization benefits both patients and providers

Listen to the interview