State of Prior Authorization with Mark Fleming (Availity) - FHIR IQ playbook
Availityのマーク・フレミング氏は、医療における事前承認プロセスが依然として手動なFAXや電話に依存している現状を指摘。連邦レベルのFHIR API標準(CMS-0057)により、この手続きは大幅に自動化され、所要時間が劇的に短縮される見込みだ。
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Availityのマーク・フレミング氏は、医療における事前承認プロセスが依然として手動なFAXや電話に依存している現状を指摘。連邦レベルのFHIR API標準(CMS-0057)により、この手続きは大幅に自動化され、所要時間が劇的に短縮される見込みだ。
Researchers point out that between 2023 and 2025, dentistry has transitioned from isolated innovations to an integrated digital infrastructure, driven by AI, robotics, and FHIR interoperability standards. However, reimbursement mismatches and cultural barriers hinder widespread adoption.
Azalea Health is actively seeking partners for its HL7 FHIR API program. To begin developing applications, users must first register an account with Azalea Health.
Healthcare operations company SwiftAuth Medical LLC announced the development of an AI-powered prior authorization platform. This platform aims to reduce administrative burden and accelerate patient care by incorporating workflow automation and voice functionality for healthcare institutions.
Onward has launched a bi-directional integration connecting its patient transportation platform directly to Electronic Health Records (EHRs) using the SMART on FHIR standard. This allows structured, real-time transport data to flow into the EHR and patient context to flow back, eliminating manual data entry burdens for case managers.
This article explains how to integrate with Epic EHR, a major system in healthcare IT. Driven by regulations like the 21st Century Cures Act and ONC guidelines, API-based data access is crucial, making integration using the FHIR standard particularly important.
Onyx announced the release of GLEAM, a market-first enterprise API designed to integrate, manage, and query all FHIR resources across an organization. This allows organizations to easily connect their FHIR data with various care management systems for comprehensive data exchange.
HRSA has published the 'UDS Plus Insurance Codes' code system for patient-level submission data, released as an FHIR IG v1.0.1. This serves as a starter set to identify various types of insurance, such as Medicaid and Medicare.
HL7 v2 is a messaging standard that has facilitated data exchange between hospital systems since the late 1980s. It uses a pipe-delimited text format to transmit clinical data—such as admissions or lab results—in near real-time, forming a foundational technology used alongside modern standards like FHIR.
mock.health has provided a synthetic sandbox environment matching the Epic FHIR structure used by Stanford Health Care. This allows developers to conduct integration testing in an environment closely resembling production.
This article introduces expertise in developing complex healthcare integration systems for highly regulated areas like FHIR R4 and TEFCA QHIN connectivity. The focus is on building robust audit trails, ensuring reproducibility of HEDIS measurement pipelines, and maintaining HIPAA compliance.
An EHR partner built a robust FHIR R4 platform to address data exchange challenges across multiple healthcare networks. This achieved comprehensive resource coverage and implemented strict security measures, meeting complex industry requirements.
エピスタイン・ベッカー・グリーンが開催する「HL7 FHIR戦略フォーラム」にて、AI導入の課題に焦点を当てたセッションが予定されている。本セッションでは、単なる技術的なモデルやツールではなく、組織全体のデータガバナンスや基盤整備といった実質的な準備度を検証することが目的である。
The information blocking regulation is having a generally positive, albeit unpredictable, net effect on the industry. This pressure has prompted major EHR vendors like Epic and eClinicalWorks to accelerate the provision of FHIR APIs with broad functionality, going beyond mere compliance.
NCQA, together with eHealth Exchange and others, received the 2026 KLAS Points of Light Award for demonstrating the feasibility of bulk FHIR data exchange in digital quality measurement. This initiative addresses long-standing challenges like fragmented data exchange and manual chart reviews.
NCQA, with partners including eHealth Exchange, received the 2026 KLAS Points of Light Award. This initiative demonstrated that large-scale data exchange using Bulk FHIR is possible, improving upon traditional challenges such as fragmented data collection and manual processes.
EMR company Canvas Medical launched Canvas Studio, a no-code interface allowing clinicians and healthcare professionals to build custom EMR workflows. This replaces the need for developers by enabling end users themselves to customize and extend the platform using an AI agent.
Consumer health data platform HealthEx has partnered with 23andMe, enabling users to securely link their comprehensive electronic medical records directly to their genetic profiles. This integration combines real-world clinical data (such as lab results and diagnosis history) with genomic information to build dynamic disease risk models.
AWS HealthLake provides a unified, AI-ready data foundation to consolidate vast amounts of healthcare data that are currently siloed and in incompatible formats. This enables fragmented information from sources like EHRs and claims to connect across all stages of care—from preventative medicine to clinical decision support and automated payer processes—creating tangible value.
West Coast Informatics (WCI) は、ヘルスケア標準化開発機関(SDO)および標準発行者向けに、新たなマネージドFHIR用語集配信サービス「TermHub」を開始した。これにより、SDOは複雑なインフラ構築や運用負担を排除し、検証済みのFHIR形式で臨床用語コンテンツを提供できるようになった。