Payer


Observations from the Field: Understanding and Leveraging CMS-0057 for Strategic Advantage

In our role as health IT consultants, we consistently encounter a common issue when discussing the CMS Interoperability and Prior Authorization Final Rule (CMS-0057) with...

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...

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...

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