1,063 FHIR-related articles (latest first)
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.
In the U.S., healthcare billing system integration is critical for revenue cycle performance. This article compares major approachesβfrom legacy HL7 interfaces to modern RESTful APIs and regulatory FHIR standardsβdetailing the costs, implementation timelines, and technical trade-offs of each method.
This brief reports on Thermo Fisher's expanded real-world data (RWD) access through a partnership with HealthVerity, the progress of FHIR standard-based eSource implementation, and regulatory challenges faced by Replimune regarding its oncolytic immunotherapy.
AWS HealthLake offers the `$bulk-member-match` operation, compliant with FHIR standards, enabling large-scale member matching. This feature allows healthcare organizations to efficiently cross-reference unique identifiers for hundreds of members across multiple systems using demographic and insurance information.
This service provides a single API to search FHIR endpoints from all ONC-certified EHR vendors. This allows developers to bypass the need to navigate individual vendor portals and registries, enabling faster system integration.
CMS has proposed new rules requiring Medicaid and ACA plans to speed up prior authorization (PA) reviews, including those related to drugs. The proposal mandates responses within 24 hours for urgent requests and 72 hours for standard ones, while also enforcing public disclosure of denial reasons and appeal outcomes.
The Centers for Medicare & Medicaid Services (CMS) has proposed a rule mandating payers to implement electronic prior authorization for drugs and shorten the decision timeframe. This expands requirements from non-drug items to cover pharmaceuticals.
A service from EasyPA, Inc converts healthcare messages in the HL7v2 format into FHIR R4 JSON bundles in real-time. This allows organizations to modernize interoperability workflows without needing complex integration engines.
Cendien provides seamless data exchange solutions based on standards like HL7 and FHIR, connecting systems such as EHRs, labs, pharmacies, and payers. This improves the completeness of patient history, reduces duplicate tests, and accelerates care decisions, thereby enhancing overall quality of care.
SIIM discusses the implications of adding 'Diagnostic Imaging Reference' to USCDI Version 7. This enables standardized information access for diagnostic images, highlighting efforts to solve challenges in existing standards like DICOM and HL7.
The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to improve the electronic prior authorization process for drugs. The rule expands requirements beyond non-drug items, aiming to enhance technical standards and transparency in drug pre-authorization processes.
The Centers for Medicare & Medicaid Services (CMS) will host its seventh annual 'CMS & HL7 FHIR Connectathon' virtually from July 14β16, 2026. This event gathers industry leaders and technical implementers to test and improve FHIR-based solutions.
Infor Cloverleaf offers FHIR services to solve challenges posed by legacy systems, providing a modern foundation for healthcare data exchange. This enables improvements in various workflows, such as automating prior authorization processes and facilitating data utilization for population health management.
HeyDonto AI Technology announced the close of a seed funding round at a $200 million valuation, aiming to accelerate the deployment of 'Conduit,' a standards-based interoperability platform connecting dental systems to the broader healthcare ecosystem. The platform aims to bridge the structural gap of integrating dental data into the national health information infrastructure.
EHR integration enables information sharing across healthcare facilities, enhancing patient safety by supporting clinical decision-making. This eliminates the need for providers to manually search multiple systems, allowing for more comprehensive care provision.
EHR integration enhances patient safety by facilitating seamless sharing of patient information across healthcare facilities and supporting clinical decision-making. This eliminates the need for manual data searching, enabling more comprehensive care.
HeyDonto, a dental AI technology company, completed $20 million in seed funding, valuing the company at $200 million. The company plans to use the funds to scale its interoperability platform, Conduit.
Mental Wealth Solutions, based in New York, launched 'HealthcareCheck,' a white-label patient navigation platform for community health centers. This tool aims to provide comprehensive care coordination capabilities at a lower cost compared to existing expensive ecosystems.
Digital transformation company Appinventiv announced expanded Electronic Medical Record (EMR) integration solutions. These solutions enable secure, real-time data exchange across fragmented systems, aiming to improve patient care quality and operational efficiency in healthcare settings.
A webinar discussion highlighted that tackling CMS-0057-F requires more than just an IT project; it necessitates a focus on 'governance,' such as data ownership and business processes (especially prior authorization). Furthermore, transitioning to a Clinical Data Repository (CDR) model is recommended to ensure future flexibility using FHIR as the system of record.