"Bringing pre-authorization to the point of care" reduces burden across stakeholders, notes one Regence executive. Regence—a Blue Cross Blue Shield Association plan offering commercial, exchange, and ...
Pacific Northwest insurer Regence is teaming with MultiCare Connected care to roll out a new tool that aims to ease the administrative burden of prior authorization. Regence and MultiCare, an ...
A pair of recent announcements from the U.S. Department of Health and Human Services show agencies working to help providers and payers reduce their data exchange burdens and enable Medicare enrollees ...
Beyond voluntary promises, standards and a federal mandate for FHIR-based APIs create a powerful framework for real prior authorization reform and broader interoperability. The recent voluntary pledge ...
The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for how payers exchange data and respond to authorization ...
MISSION HILLS, KS, UNITED STATES, February 27, 2025 /EINPresswire.com/ -- Onyx, a leader in healthcare interoperability, proudly announces its latest advancements in ...
BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company, today announced a new solution that fully automates prior authorization at the point of care, ...
CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...
MISSION HILLS, KS, UNITED STATES, July 9, 2025 /EINPresswire.com/ -- Onyx, a leading innovator in healthcare interoperability solutions, and Itiliti Health, a pioneer ...
Q2 Are there best practices for translating medical policies governing prior authorization into machine-readable language? Prioritize the 80/20s to pull forward your plan’s ROI. Translating all ...
MISSION HILLS, KS, UNITED STATES, December 18, 2024 /EINPresswire.com/ -- Black Book Research has identified Onyx as the highest-rated vendor in its 2025 survey on ...
BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the Workgroup for Electronic Data Interchange (WEDI) ...
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