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,...
HHS Data Strategy: The Vital Role of Consent Management in Bridging Health & Human Services Data
The latest HHS Data Strategy was unveiled back in December, and it's packed with updates that provide valuable insight into their priorities and where they're putting their...
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...
Washington State Takes a Leap to Require FHIR APIs and Reshape Prior Authorization
Washington State has taken a pioneering leap in reshaping the landscape of prior authorization, racing ahead of federal guidelines by mandating the use of FHIR (Fast Healthcare...
Decoding Medicare's Proposed Rule: Insights for Health IT Stakeholders
Yearly adjustments in healthcare policies are the norm, with some years marking more notable changes. Among these, the Centers for Medicare & Medicaid Services (CMS) consistently...
Navigating Regulatory Compliance and Innovation in Payer Technology
Healthcare technology policy, especially rules impacting payers, are coming at us at a fast and furious pace coupled with new enforcement teeth. Executives and leaders in payer...
