Search results for "FHIR": 1,054 articles
Multiple insurers announced plans to significantly improve prior authorization processes by leveraging Artificial Intelligence (AI) and new data standards. They aim to increase the approval rate for complete files from about 20% today to 80% by 2027.
Healthcare organizations face pressure to control costs while maintaining quality care, making utilization management (UM) critical. Implementing advanced technology platforms enables the rapid streamlining of prior authorization processes and strengthens compliance, leading to significant operational improvements.
Midmark RTLS announced the integration of its staff safety solution, CareFlow RTLS Staff Duress, into the Epic Toolbox. This will enable immediate, location-aware alerts within Epic during emergencies, facilitating rapid response to protect caregivers.
This solution uses AWS HealthLake as a foundation, leveraging generative AI services like Amazon Bedrock to quickly extract necessary information from vast electronic health record data, providing comprehensive patient summaries before and after visits. This aims to reduce the burden of information overload and improve quality care.
A healthcare organization implemented risk stratification using Social Determinants of Health (SDoH), which goes beyond clinical data. This enabled the identification and timely, targeted intervention for high-risk patients.
This blog provides expert perspectives on complex healthcare IT challenges, such as interoperability and FHIR implementation. It offers practical insights to help improve workflows, strengthen security, and enhance patient outcomes.
Data network leader Availity and FHIR interoperability leader Onyx have partnered to launch a comprehensive FHIR solution designed to help payers meet the mandatory CMS-0057 rule by 2027. The platform aims to simplify regulatory adherence, improve data sharing, and streamline prior authorization processes.
This study proposes LINK-FHIR, a novel system designed to convert diverse electronic health record data into standardized Fast Healthcare Interoperability Resources (FHIR). The system leverages fine-tuned Large Language Models (LLMs) to efficiently process various data formats, including unstructured clinical notes and semi-structured lab reports.
Exafluence offers a comprehensive, AI-powered FHIR platform to achieve secure and efficient healthcare data exchange and improve interoperability. The platform supports solving healthcare challenges through practical implementation strategies and guides for decision-makers.
The Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment policies for inpatient and long-term care hospitals for Fiscal Year (FY) 2026. The revision includes not only payment increases but also major enhancements in quality reporting, focusing on FHIR standards and improving e-prescribing/prior authorization processes.
Atlas Systems has partnered with behavioral health provider SonderMind to automate data exchange from providers to payers using the PRIME platform. This enables near real-time data synchronization, reducing administrative burden and minimizing claim denial risks.
Between 2022 and 2025, seven health departments and one health information exchange launched FHIR pilot projects. This report reviews these initiatives, summarizing key successes, challenges, and lessons learned for public health data exchange.
FHIR, developed by HL7, is gaining attention as a standard for exchanging data between EHR systems. However, achieving true interoperability is difficult due to legacy systems and complex workflows. The article explains the necessity and specific role of expert consulting.
Availity and Onyx have partnered to launch a comprehensive platform addressing CMS-0057 requirements. This solution helps health plans simplify compliance, reduce administrative burden, and facilitate efficient data exchange.
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The article explains how to efficiently manage and search massive audit events in large-scale healthcare systems using FHIR standards. It introduces a solution that addresses challenges like system performance degradation and increased costs while meeting regulatory requirements such as HIPAA.
The U.S. CMS announced a partnership with tech giants like Amazon and Google to build a 'patient-centric' smart healthcare ecosystem. This aims to significantly improve data sharing and interoperability across national health information networks and EHR systems.
Due to CMS-0057 regulations, FHIR compliance has become a mandatory requirement for EHR vendors and health plans in the US. This rule mandates specific implementations across four key APIs: Patient Access, Provider Access, Payer-to-Payer data exchange, and Prior Authorization.
SMART on FHIR is the standard integration surface for third-party applications within FHIR-based EHRs. This article details its three launch modes (Patient standalone, EHR patient launch, Backend services), covering technical aspects like scopes and parameters to ensure smooth system interoperability.
The U.S. Department of Health & Human Services (HHS) has finalized a series of new rules regarding electronic prescribing and prior authorization. These rules mandate real-time prescription benefit checks at the point of care and formally adopt FHIR certification for the prior authorization process.