Reflections from ViVE 2025: The Frontier of Healthcare Interoperability and Problem Solving
Reflections from ViVE 2025 - Firely
Summary
ViVE 2025 reaffirmed the critical importance of interoperability in healthcare. Key challenges highlighted include the inefficiency of prior authorization processes and the complexity of managing quality measures due to CMS compliance. It was shown that data exchange via FHIR-powered APIs is key to solving these issues.
Details
ViVE 2025 served as a forum for discussions on the future of healthcare interoperability. Attendees expressed high expectations for strengthening collaboration between government and industry, particularly in resolving the prior authorization bottleneck. Data showing a 56% surge in Medicare Advantage claim denials from 2022 to 2023 underscored the inefficiency of this process. In response, solutions utilizing FHIR APIs for automation gained attention, demonstrating that seamless data exchange between payers and providers can reduce administrative overhead. Furthermore, to address evolving regulations for quality measures (such as CMS and HEDIS), a digital Quality Measures (dQM) solution leveraging FHIR and CQL was proposed, emphasizing its role in simplifying data collection, validation, and reporting. Additionally, it was pointed out that federal regulations like the 21st Century Cures Act were preceded by industry adoption of interoperability standards. Following this trend, ensuring digital identity and patient access to their own data is highlighted as a crucial future trend. These discussions confirmed that FHIR is the central technology driving transformation by enhancing the accessibility, efficiency, and usefulness of healthcare data.
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