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 ...

On January 2, Health Level Seven debuted the new version of its interoperability specification. Many CIOs and technologists in healthcare have been awaiting the fourth iteration of the Fast Healthcare ...

Choosing the right technology partners is critical to the success of any organization, but it can be challenging to get all stakeholders to agree on a common solution. With the expanding role of ...

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 ...

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

"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 ...