In late 2024, the U.S. Department of Health and Human Services (HHS) named National Council for Prescription Drug Programs (NCPDP) Telecommunication Standard Version F6 in the...
Navigating Uncertainty: Why Organizations Need Objective Assessments in a Complex Health IT Landscape
In today’s healthcare environment, organizations must contend with a vast array of external market factors—changing regulations, new technologies, and shifting payer-provider...
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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