In an ongoing effort to enhance the efficiency, interoperability, and security of electronic health information systems, the Centers for Medicare & Medicaid Services (CMS) has...
Webinar Recap: Is 2024 The Year of the Pharmacist?
If you missed our recent webinar titled " Is 2024 The Year of the Pharmacist? Harnessing the Potential of Pharmacy Interoperability & Advanced Practice ", don’t worry—I’ve got you...
Beyond Compliance: Achieving Excellence in Execution – Mastering Iterative Improvements
The final blog in our series, focusing on Execution & Iteration, brings our compliance journey to its most dynamic phase. Read the first and second blogs in the series to catch up...
Beyond Compliance: Transforming Insights into Impact – The Journey from Analysis to Action
In the first blog of this series, we broached the complexities of the "Assess and Analyze" phase, emphasizing the importance of a thorough understanding of the regulatory...
Beyond Compliance: The Strategic Roadmap – Starting with Assessment and Analysis
The CMS rule on advancing interoperability and improving prior authorization (CMS-0057-F) sets a foundation for future policymaking. As payers embark on this compliance journey,...
CMS Rule Drives New Era of API-Enabled Data Sharing & Prior Authorization Reform
On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) unveiled a long-awaited final rule aimed at advancing interoperability and enhancing prior authorization...
Recap of the Changes to Medicare Advantage and Medicare Prescription Drug Benefit Proposed Rule
Our December 20 blog shared highlights from the CMS proposed rule for Advancing Interoperability and Improving Prior Authorization Processes, intended to improve patient and...
Providing Perspectives through the Regulatory RFI Process Can Shape the Future of Interoperability
Advancing true healthcare interoperability and data fluidity is dependent upon collaboration, and collaboration requires participation. Recently, the Centers for Medicare and...
Don’t Delay! Prepare for CMS PA & Burden-Reduction Rule Now
The prior authorization process has long been a thorn in the proverbial side of healthcare. Providers, payers, and patients (perhaps most of all) have come to regard this...
Feds Officially Acknowledge Two NCPDP Standards. Part 2. What’s Next
By Pooja Babbrah, Practice Lead, PBM Services and Jocelyn Keegan, Payer/Practice Lead
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