Developed by Interoperability Matters’ Payer-to-Payer FHIR® API Implementation Workgroup, the readiness checklist serves as a resource for any payer seeking to implement the Centers for Medicare & ...
From the No Surprises Act of five years ago to President Donald Trump's 2025 executive order on healthcare pricing transparency, the federal government is sending a clear message to the private sector ...
Today’s health plans are still facing daunting challenges with stakeholder collaboration, system interoperability, and a changing consumer market. As patients take on more responsibility for their ...
Onyx, Best in KLAS interoperability Provider, releases OnyxOS Spring'25 Edition supporting the latest Implementation Guides in the CMS Prior Authorization Rule. The Patient Access API, mandated by CMS ...
It’s safe to assume that if you’re part of the healthcare technology industry, you’ve heard the buzz around FHIR (HL7’s Fast Healthcare Interoperability Resources data standard). With the swirl around ...
In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing ...
"Bringing pre-authorization to the point of care" reduces burden across stakeholders, notes one Regence executive. Regence—a Blue Cross Blue Shield Association plan offering commercial, exchange, and ...
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