CMS mandates the use of FHIR APIs for prior authorization (PA) by January 1, 2027, affecting MA plans, Medicaid managed care, etc. This is a hard deadline, not a proposal, significantly impacting healthcare data exchange and payment processes.
LTTS was recognized as a leader in the post-market digitalization sector for medical devices in the 2025 ISG Provider Lensยฎ report. Its comprehensive platform helps ensure patient safety and regulatory compliance.
Version 0.5.0 of the US Quality Core, based on FHIR standards, has been released. This version is available as the current published standard at a permanent URL.
GrowPad implemented continuous SEO strategies for Kodjin's website, starting in August 2022. Despite competitors like Microsoft and HL7, the effort successfully improved search rankings and generated leads for the 'FHIR server' keyword.
AWS HealthLake provides a 'Resource matching' capability to build an accurate, unified view of data aggregated from multiple systems. This mechanism identifies and links multiple FHIR resources representing the same real-world entity without modifying the original records.
Leopard Data migrated a large-scale, multi-tenant healthcare interoperability platform from AWS to Google Cloud. They utilized an AI agent pipeline to analyze and rewrite FHIR/HL7 codebases, achieving a re-platforming that maintained regulatory compliance.
AWS offers 'HealthLake,' a fully managed, enterprise-scale FHIR R4 server for patient and member applications. This allows users to utilize large-scale, standards-based APIs while reducing operational burden.
The author advocates for the use of AI agents in healthcare and asserts that building open-source infrastructure is essential for this. The piece emphasizes the necessity of community collaboration to solve existing system issues.
Healthcare organizations face risks by treating the two CMS mandatesโPrior Authorization APIs and Claims Attachmentsโas separate projects. Since both rules rely on a shared workflow foundation, an integrated strategy is necessary.
Sharecare has launched 'AskMD,' a platform utilizing conversational AI to integrate real-time insurance information and clinical data. It supports users from understanding symptoms to locating appropriate in-network providers seamlessly.
Electronic health record standards for allergies in the US have been updated. This new specification aims to structure and exchange allergy tolerance (AllergyIntolerance) information using a FHIR resource profile, thereby facilitating data exchange between medical institutions.
Wellgistics Health appointed experienced healthcare IT executive Brett Thompson as consulting Chief Technology Officer. He brings over 30 years of enterprise software experience, with deep expertise in healthcare technology including FHIR and HL7.
The problem with provider directory information is not merely a data quality issue, but fundamentally a 'trust' issue. As the industry moves toward FHIR-based exchange, verifiable processes confirming who issues the data are essential.
This session explores how leveraging HL7 FHIR can alleviate the burden associated with collecting, calculating, and reporting quality measures. By enabling automated, standardized, and real-time data exchange, it aims to contribute to value-based care.
The American Medical Association (AMA) announced an interoperability initiative to support electronic prior authorization by developing and deploying mappings from SNOMED CTยฎ to CPTยฎ. This aims to reduce administrative burden and improve data exchange in clinical settings.
The National Cancer Institute (NCI) is working to standardize the structure and exchange of cancer-related data in electronic health records (EHRs). This effort addresses challenges related to matching patients with appropriate clinical trials, specifically tackling inconsistencies arising from fragmented data sources.
Direct-to-Patient (DTP) models are rapidly expanding, driven by privacy concerns. However, these systems fail to feed prescription data into Electronic Health Records (EHRs), creating an 'EHR blind spot' that increases risks in medication management and drug interaction monitoring.
Integrium has launched 'Integrium CORE,' a FHIR-native Electronic Health Record (EHR) platform built by clinicians to address complex challenges in drug development and medical billing. The system aims to transform wound care documentation into structured data that can withstand payer audits.
EliseAI, a conversational AI platform, aims to solve administrative inefficiencies and labor shortages in U.S. healthcare settings. The system automates tasks like handling inquiries, managing appointments, and sending billing notices via phone or chat, contributing to improved clinic operational efficiency.
Brendan Keeler critiques the EHR Association's blog content. He points out that while the association suggests deregulation for items like CPOE and patient demographics, its attempt to limit 'bulk FHIR' is clumsy and concerning.