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Policy Ingredients for Real-Time Improvements in Health Care, Prior Auth, and Claims

Healthcare IT Today

Many of us look forward to digital interactions in health care that work as simply as a retail sale or airline reservation. Don Rucker, MD, chief strategy officer at 1upHealth , shows us in this video how current regulations and FHIR standards will actually make that happen.

FHIR 105
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A Few #HealthPolicyValentines

Healthcare IT Today

HealthPolicyValentines pic.twitter.com/nZx2DcTCGI — MA Health Policy Commission (@Mass_HPC) February 13, 2024 Medicare could never negotiate your cost because you are priceless. Less fragmented health data. We hope you’ll enjoy a nice break this Valentine’s day. What does that mean for patients?

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CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers

Healthcare IT Today

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

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CMS To Run Pilot Giving Providers Access To Medicare Claims Data

Healthcare IT Today

In another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data. During the pilot, which is called “Data at the Point of Care” or DPC, clinicians will be able to access the claims data from CMS’s Blue Button 2.0 functionality.