Explore targeted immunization initiatives aimed at closing vaccination gaps in underserved populations, emphasizing the importance of payer and provider collaboration.
Learn how electronic prior authorization (ePA) transforms healthcare by replacing manual workflows, improving provider experience, and supporting FHIR API compliance.
Explore effective strategies to combat vaccine hesitancy through clear communication and community engagement initiatives.
The Centers for Medicare & Medicaid Services’ (CMS) WISeR model (originally designed to streamline utilization management and prior authorization processes) is facing renewed attention from lawmakers. A bipartisan congressional letter sent to CMS questions the agency’s legal authority to apply the model to traditional Medicare and warns of potential impacts on beneficiary access, provider operations, and program compliance. As the healthcare industry awaits CMS’ response, payer and provider organizations should prepare for possible policy adjustments that could affect authorization workflows, clinical operations, and financial performance.
Learn how FHIR-based APIs make prior-authorization digital, fast, and accurate, boosting provider satisfaction.
Support National Immunization Awareness Month with this provider-focused guide to vaccine schedules, hesitancy strategies, and more.
The U.S. Department of Health and Human Services (HHS) has finalized pivotal regulations designed to streamline e-prescribing and prior authorization processes. These new rules aim to enhance interoperability, reduce administrative burdens on healthcare providers, and improve patient care outcomes. As the healthcare landscape shifts towards value-based care, it is essential for decision-makers in healthcare organizations to align their systems with these changes to ensure compliance and optimize operational efficiency.
Learn how to sustain minority mental health equity beyond July. Explore year-round strategies for reducing stigma and providing culturally responsive care.
Unite UV safety and hepatitis awareness in a July health campaign that drives prevention and community engagement.
The Trump Administration’s America’s AI Action Plan outlines a strategic framework for integrating artificial intelligence into healthcare, addressing both the opportunities and challenges it presents. By fostering collaboration among stakeholders and establishing regulatory guidelines, the plan aims to enhance patient care, ensure compliance, and drive innovation. This Industry Watch Alert highlights the key implications of the AI Action Plan for healthcare payers and providers, emphasizing the need to align AI advancements with value-based care initiatives.
