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

Healthcare IT Today

Don Rucker, MD, chief strategy officer at 1upHealth , shows us in this video how current regulations and FHIR standards will actually make that happen. In a fast-paced exchanged with John Lynn of Healthcare IT Today, Rucker covers regulations and evolving data exchange standards that foster interoperability and data analytics.

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Featured Health IT Job: eCQM/dCQM Measure Developer – CORE

Healthcare IT Today

They will additionally source solutions from, and contribute to, relevant open-source projects and participate in community events such as Health Level Seven (HL7) Connectathons. Code, test and maintain electronic clinical quality measures using Clinical Quality Language (CQL) and Fast Healthcare Interoperable Resources (FHIR).

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Bonus Features – April 28, 2024 – 22% of employers fully trust chronic condition management vendors, Common Agreement v2.0 requires support for FHIR API exchange, plus 29 more stories

Healthcare IT Today

Updates that require support for FHIR-based APIs should allow TEFCA participants to more easily exchange information directly, and enable individuals to more easily access their own information. Interoperability vendor Innovar Healthcare released an OSS Mirth Connect plugin that’s now available on AWS Marketplace.

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Bonus Features – February 25, 2024 – 73% of digital health vendors use FHIR APIs, 83% of clinicians think telemedicine is good for chronic condition management, plus 28 more stories

Healthcare IT Today

Reps Mike Kelly (R-PA) and Bill Foster (D-IL) introduced the Patient Matching and Transparency in Certified Health IT (MATCH IT) Act of 2024 , which would standardize the way demographic information is entered into certified health IT products and ensure more precise patient matches.

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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. Presently, physicians bear the burden of understanding each health plan’s requirements for utilization review. The release of FHIR in the mid-2010 decade changed everything. population.

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CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers

Healthcare IT Today

The announcement follows the release of the Interoperability and Patient Access final rule in July, which requires all health plans doing business with the […].

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Toward a Wider Adoption of Digital Insurance Cards

Healthcare IT Today

So I was intrigued when Mark Scrimshire, chief interoperability officer of OnyxOS , introduced me to developments over the past few years that will make digital insurance cards feasible. HL7 , which has been setting standards for health care since 1987, leapt into the modern age of computer standards by adopting the FHIR standard.

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