ONC HTI-2 Proposed Rule on Healthcare Interoperability

As the discussion around prior authorization evolves within the healthcare industry, the AMA presents compelling arguments for essential considerations. This article examines key factors, such as expediting payer response times, reducing the number of prior authorization submissions, and enhancing transparency around the key question, "is auth required?" It also emphasizes the importance of involving physicians in discussions with payers about best practices in prior authorization. https://lnkd.in/g4jVu6Cb #priorauth #healthcareAI #priorauthorization

As the discussion around prior authorization evolves within the healthcare industry, the AMA presents compelling arguments for essential considerations. This article examines key factors, such as expediting payer response times, reducing the number of prior authorization submissions, and enhancing transparency around the key question, "is auth required?" It also emphasizes the importance of involving physicians in discussions with payers about best practices in prior authorization. https://lnkd.in/dFW9Zy8r #priorauth #healthcareAI #priorauthorization

As the discussion around prior authorization evolves within the healthcare industry, the AMA presents compelling arguments for essential considerations. This article examines key factors, such as expediting payer response times, reducing the number of prior authorization submissions, and enhancing transparency around the key question, "is auth required?" It also emphasizes the importance of involving physicians in discussions with payers about best practices in prior authorization. https://lnkd.in/g7UkeXBY #priorauth #healthcareAI #priorauthorization

Here are five strategies for how healthcare providers can use claims, clinical data and benchmarking services to maximize their potential with payers.

A great case study in how to stop the massive Rx Revenue loss for pharmaceutical brands, while improving outcomes and experience for patiets and HCPs. Different approaches lead to different outcomes. Predictive and proactive market access and commercialization, a first for pharma...with a little help from AI :)

Staying aligned with #FHIR mandates is essential for healthcare providers, payers, and IT vendors to ensure secure, efficient, and real-time data exchange. From the 21st Century Cures Act to ONC certification updates, understanding these evolving standards helps healthcare organizations enhance patient care, optimize operations, and achieve long-term compliance. Explore practical steps to address FHIR requirements and prepare for the future of #interoperability. https://loom.ly/O4FBwGc #HealthIT #FHIRStandards #Interoperability #HealthcareCompliance

In the face of new price transparency mandates, Payers can feel stuck maintaining the status quo when it comes to re-pricing approaches. But they can break free.  Read our new infographic to learn about the differences between traditional re-pricing methodologies and new, transparent and dynamic, data-driven pricing that Payers can leverage to maintain regulatory compliance and optimize healthcare spending while ensuring access to quality, affordable care:  https://lnkd.in/g6P8vRVC  

AssistRx’s eMedical Benefit Verification (eMedBV) solution leverages a multifaceted, multi-threaded approach to improve speed to therapy and create differentiated patient and healthcare provider experiences. Our three-pronged approach of direct connectivity to payers, AI-powered outreach and talent offramp reduces manual processes and high program costs while supporting continuity of care. Learn how eMedBV improves outcomes in our case study: https://loom.ly/G-tL7PA #InformedAccess #ImprovedOutcomes

There's still time to sign up for tomorrow's FREE Modern Healthcare Value Based Care Virtual Briefing! Sign up today to explore the latest shifts in the payer market and how providers can maximize reimbursement, improve patient outcomes, and find success in value-based payment models. #ValueBasedCare #Healthcare https://hubs.la/Q02SlHtc0

Patients, healthcare professionals, payers, and other stakeholders can have vastly different views on the value of a particular product, often resulting in a struggle between prioritizing access to innovation and optimizing costs. Addressing the ramifications associated with misaligned incentives in the fee-for-service payment model has been a driving force in the pursuit of value-based care. Read more: https://ow.ly/4B7F30sCKyy