Going Beyond Compliance: How Payers Can Embrace Healthcare Interoperability
Payers may be prepared to comply with the interoperability rule for the July 1 deadline, but are they ready to adopt healthcare interoperability long-term? For the past couple of years, CMS has pushed the industry to take bigger steps...Sponsored Article
4 Ways ADT Event Notifications Improve Payer Performance
As a result of CMS CoPs requirements and shared risk arrangements, admission, discharge, and transfer (ADT) notifications are increasingly playing a more crucial role in coordinating care between...Endpoint Directory Supports Payer Interoperability Compliance
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...Sponsored Article
Why User-Centered Design Is Crucial to Member Engagement
A new normal has ushered in a new reality for health plans — necessitating member-facing tools that mirror the experiences consumers have elsewhere in their lives. This clarion call from...How Payer Forecasting Is Shifting Towards Real-Time Data Analytics
As aggregators of healthcare data, payers are modern-day seers for the healthcare industry and they are increasingly leaning on real-time analytics to perform this role. “Forecasting is a capability and an enabler to help create...CMS Rule Targets Prior Authorization with Interoperability
Today, the Centers for Medicare & Medicaid Services (CMS) passed a final rule that promotes data sharing, patient access to health information, coordinated care, and interoperability to streamline...How Payers Can Identify Partners for Automated Data Transfer
Automated data transfer is a key part of diminishing administrative burden and reducing health costs, but payers have not yet fully committed to the process. The progression toward greater automation...How a Directory Can Streamline Interoperability Rule Compliance
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...CommonWell Mobilizes to Support Payer Interoperability Compliance
CommonWell Health Alliance announced that it is expanding its interoperability services, a move which could support payers struggling with interoperability compliance related to the new CMS...What the Interoperability Rule Will Mean for Payers in 2021
Although the interoperability rule will not be implemented until mid-2021, payers can be aware of what to expect regarding how this rule will change their processes, as outlined in a recent AHIP...CMS Delays Interoperability Final Rule Roll Out Due to COVID-19
Because hospitals, health systems, and providers are on the frontlines of treating and covering patients with COVID-19, the Centers for Medicare and Medicaid Services (CMS) decided to extend the...AHIP: 3 Factors to Consider for CMS Data Interoperability Rule
Reactions to the finalized interoperability rule have fallen predictably along industry lines, as payers and providers spurn the new rules but technology companies warm up to them. For more...How Will Health Literacy Affect Interoperability Rule Benefits?
With its new interoperability rule, CMS pushed ahead with the anticipated mandates, which direct payers to provide Patient Access application programming interfaces (APIs) and Provider Directory APIs,...CMS Releases Finalized Rule on Interoperability
CMS has released the next phase of the 21st Century Cures Act on interoperability. The rule, which was expected to be announced at HIMSS20 before the conference was canceled, supports the...Accessible Data, In-Person Dialogue Key to Value-Based Partnerships
There are two elements of value-based care that should come as no surprise to a seasoned healthcare professional regarding value-based partnerships. First, that payer-provider relationships are at the...Precision Medicine Challenges Persist, Aetna Leads Response
Precision medicine has the potential to significantly improve health outcomes and save members and their payers, so Aetna is overcoming the major challenges associated with implementing the...Sponsored Article
