FHIR

CMS Finalizes Payer Requirements to Streamline Prior Authorization

January 17, 2024 - CMS has finalized requirements for payers to streamline the prior authorization process and improve the electronic exchange of health information to help limit patient care disruptions. The CMS Interoperability and Prior Authorization Final Rule includes policies for Medicare Advantage organizations, Medicaid and the Children’s Health...


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Endpoint Directory Supports Payer Interoperability Compliance

by Kelsey Waddill

CAQH has officially launched the CAQH Endpoint Directory to support payers with interoperability compliance as they prepare for approaching deadlines in 2021 and 2022. “The need for the endpoint...

How a Directory Can Streamline Interoperability Rule Compliance

by Kelsey Waddill

As payers and vendors scramble to comply with the interoperability rule, various nonprofits seek to streamline this interoperability process with innovative solutions, such as CAQH’s upcoming...

Cambia Streamlines Health Data Exchange with FHIR, Da Vinci Project

by Jennifer Bresnick

Cambia Health Solutions has partnered with two healthcare provider networks to enhance health data exchange by leveraging FHIR. As part of the Da Vinci Project, Cambia is working with Oregon Health...

Da Vinci Project Connects Payers, Providers, FHIR for Value-Based Care

by Thomas Beaton

Payer and provider members of the Da Vinci Project are undertaking a series of pilot projects exploring how to best leverage FHIR for data exchange to enhance value-based care. “Da Vinci is a...