Search results for "FHIR": 1,054 articles
The Centers for Medicare and Medicaid Services (CMS) has proposed major regulatory changes aimed at accelerating drug prior authorization (PA) processes and enhancing transparency. The proposal mandates electronic PA support across all impacted payers, requiring shorter decision timelines and public reporting.
Many healthcare organizations mistakenly assume that the adoption of FHIR APIs signifies a standardized system integration process. However, vendors exhibit variations in API architecture and implementation. This guide compares major EHR platforms (Epic, Cerner, athenahealth) to clarify true interoperability challenges and necessary evaluation criteria.
医療における事前承認プロセスは、労働集約的なコスト削減からAPI駆動型のインフラへと移行しつつある。特にCMSが導入するCMS-0057-FやFHIR標準の活用により、この価値の変化が加速している。
Intellectt offers services that achieve true interoperability by bridging legacy HL7 systems with modern FHIR APIs. This enables the real-time and secure exchange of clinical data across multiple systems, including EHRs, labs, and payers.
Multiple critical trends in US healthcare IT were reported, including the CMS-0062 launch and ACCESS. Key focus areas include the complex system structure of payers and regulatory conflicts over data standards like FHIR/X12.
Surescripts, a leading health intelligence network, will present its latest advancements in pharmacy interoperability and electronic prescription transfer (RxTransfer) at the 2026 NCPDP Annual Conference. This aims to help patients access medications faster while improving pharmacist efficiency and allowing them to focus on patient care.
The US CMS published a proposed rule significantly expanding electronic prior authorization (PA) requirements, modernizing HIPAA transaction standards, and strengthening Open Payments enforcement. This affects numerous regulated entities, including Medicare Advantage and state Medicaid programs, signaling major changes in healthcare data exchange and utilization.
本記事は、歯科管理システムや患者ポータルなど、現代の医療ITソリューションに関する最新動向を解説している。特に、電子カルテ（EMR/EHR）の開発、AIによる業務変革、および遠隔診療アプリの重要性が強調されている。
HIKE HEALTH announced the launch of HIKE Basecamp™, a new service designed to support interoperability. This service provides continuous operations and expert knowledge for payers, providers, and HIEs, moving beyond simple technology deployment.
Major healthcare companies and vendors are accelerating the automation of insurance claims and document workflows using API integration and clinical reasoning engines. However, independent audits and human oversight remain essential, requiring a cautious approach to technology adoption.
アテナヘルスによると、従来のポイント対ポイント接続やHL7インターフェースはコストと時間的制約から限界に達している。AI活用にはシームレスな相互運用性が不可欠であり、標準化されたFHIR/HL7プロトコルに基づくネットワーク型参加が、完全な患者情報を実現する次世代の連携モデルとして注目されている。
The article points out that two recent CMS rules (X12N 275 and Da Vinci Clinical Data Exchange) show different approaches regarding HIPAA standards. This suggests a lack of consistency in handling attached clinical documentation for claims transactions versus prior authorization transactions.
The National Clearinghouse Association, Cooperative Exchange, launched a Da Vinci Trebuchet clearinghouse-to-clearinghouse (CH-to-CH) prior authorization pilot in collaboration with the HL7 Da Vinci Project. This initiative aims to reduce administrative burden between healthcare providers and payers by improving data sharing using the FHIR standard.
The Centers for Medicare & Medicaid Services (CMS) has introduced sweeping mandates regarding clinical documentation processing, forcing major changes on healthcare organizations. This article details the technical requirements and operational benefits of these complex regulations (such as CMS-0053-F).
The Centers for Medicare & Medicaid Services (CMS) and HL7 International announced the 7th Annual CMS HL7 FHIR Connectathon, scheduled for July 14–16, 2026. This free virtual event aims to gather interoperability leaders and developers for hands-on testing and collaboration using FHIR.
The Centers for Medicare & Medicaid Services (CMS) and HL7 International are hosting the 7th Annual CMS HL7 FHIR Connectathon from July 14–16, 2026. This free virtual event gathers interoperability leaders and innovators to focus on hands-on testing and real-world FHIR implementation.
PQT Health has formed a strategic partnership with Serene Intelligence, an AI solutions provider. This integration will embed AI-powered prior authorization and appeals/denials management into the Dyvine EHR® platform, aiming to reduce administrative burden and accelerate revenue cycle for healthcare providers.
CMS has proposed new rules regarding electronic prior authorization (PA) that include drugs. This aims to improve patient access and requires increased transparency from payers.
The US CMS proposes significantly strengthening regulations on healthcare interoperability, aiming to introduce a single FHIR-based standard particularly for the drug prior authorization (PA) process. This mandates broad interoperability requirements for drugs, extending beyond existing medical procedure APIs.
The Centers for Medicare & Medicaid Services (CMS) proposed a rule to introduce interoperability standards into the drug prior authorization process. This mandates that impacted payers provide electronic prior authorization capabilities and utilize specific HL7 FHIR resources.