The role of FHIR in interoperability

The CMS Interoperability and Prior Authorization rule (CMS-0057-F) aims to improve healthcare data exchange and simplify prior authorization. Highlights:

Patient Access API now includes prior authorization data
Provider Access API requires payers to share data with in-network providers
Payer-to-Payer API for data sharing and comprehensive health records

The rule establishes FHIR as essential for healthcare interoperability. Interoperability allows payers to enhance member experiences, foster digital innovation, and enrich data analytics.

Discover how CMS rules offer strategic benefits for payers in the full report.

Vendor:: InterSystems
Posted:: May 10, 2024
Published:: May 10, 2024
Format:: HTML
Type:: White Paper

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