CMS and AHIP Isn’t the Finish Line: It’s the Starting Gun for Prior Auth Innovation
Without systemic redesign, these efforts risk reinforcing the same pain points that made prior authorization a flashpoint for payers and providers.
VBC, MA, FHIR and Modern Care
We know from everyday purchasing of goods and services that you have to combine what you’re getting with what you’re paying for that good or service. But how does this basic consumer supplier concept play out in US healthcare?
What Are Healthcare Organizations Getting Wrong about Email Security?
A new report by Paubox calls for healthcare IT leaders to dispose of outdated assumptions about email security and address the challenges of evolving cybersecurity threats.
Why One Healthcare Exec Is Optimistic About the ONC’s New Info Sharing Rule
Jill DeGraff, B.well Connected Health’s senior vice president of regulatory, believes the ONC’s new HTI-1 rule is a step in the right direction that will improve data exchange for providers, health tech vendors and patients. She applauded the rule for preserving TEFCA as a voluntary framework and for establishing FHIR-based interoperability as the industry’s de facto standard.
Why a Former ONC Chief Thinks TEFCA Is Inherently Flawed
Last week, the ONC announced that TEFCA had finally gone live. This followed years of the ONC heralding the project's potential to boost interoperability and increase patients’ access to their healthcare data. However, former ONC Chief Don Rucker believes that TEFCA is built on an archaic data exchange protocol that will prevent the initiative from being useful.
Smile Digital Health Snags $30M to Tackle the Industry’s Interoperability Woes
Smile Digital Health recently raised $30 million in Series B capital. The startup sells its health data fabric platform to providers, payers, digital health vendors and researchers. The platform gives customers the ability to store, search and evaluate patient information.
CDS Hooks: The “so what” of FHIR for clinicians
Adding CDS Hooks — the HL7 published specification for clinical decision support — to the technology mix will streamline clinical workflows, particularly as the sources and quantities of data continue to expand at a rapid pace.
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Health data silos are growing: Can CDS Hooks help bridge the gaps?
The CDS Hooks API is a new specification that builds on FHIR, describing how EHRs can automatically invoke external platforms or apps. For the first time, by CDS Hooks invoking FHIR apps, EHR-only users can have insights relevant to the clinical situation and within their EHR workflow based on data sourced outside of it. CDS Hooks is potentially a powerful way to ensure that all patient data can be accessed via the EHR.
From HITECH to SMART-on-FHIR: Where does the healthcare app ecosystem stand?
SMART-on-FHIR is the inflection point for driving the shift to value-based care. The reason: It offers another pathway to integration in which user experiences, not just discrete data, are shared across systems, enabling lightning quick implementation.
Study: Apps integrating with EHRs grew 20% during 2020
Though the total number of unique apps that integrate with major EHRs, like Epic and Cerner, increased from 600 at the end of 2019 to 734 in December 2020, growth in the number of apps that support the FHIR data exchange standard was stagnant.
What payers need to know about CMS’ Payer-to-Payer Data Exchange requirement
As plans struggle to decide how to comply with a badly-worded portion of the final rule on interoperability, they should be thinking about the broader changes at work and whether their choices now prepare them for the world ahead.
The Human Algorithm: What AI Can’t Replace in Pharma Engagement
At a time when AI is reshaping pharma, Reverba Global CEO Cheryl Lubbert explained in an interview why empathy, context, and ethics still require a human touch.
FHIR mandates are an opportunity to transform patient experiences through a consistent API strategy
There’s a real opportunity to go beyond a piecemeal, bare-minimum, “check-the-box” approach and think of FHIR mandates as an opportunity to kick-start consistency across your API landscape.
Opening up real-time access to data via APIs could help streamline Covid-19 vaccination programs
An API-first approach supports low-code solutions, and that is of immense value to healthcare facilities right now.
What payers need to know about FHIR
Although the deadline for compliance with the FHIR patient access rules is fast approaching, most payers are not prepared,
Data democratization in healthcare – the API Way
Just like with the drive for Open Banking, Open Healthcare presents huge opportunities but a strategy and governance together with an open platform needs to be in place to gain trust with healthcare members to put the patient back at the center,
How payers and providers can address the CMS interoperability mandate
We need to keep in mind three key elements to successfully implement the final interoperability rules from CMS that require private payers to provide longitudinal claims data to members as well as the use of open APIs so a range of third-party applications can be built.