Observations from the Field: Understanding and Leveraging CMS-0057 for Strategic Advantage. The CMS-0057 rule brings forward a series of critical requirements designed to enhance interoperability and streamline prior authorization processes. These mandates are intended to improve data exchange between payers, providers, and patients, but they also pose challenges as payers adapt their systems and workflows to meet compliance. Point-of-Care Partners clarifies these challenges and corrects any misconceptions that might hinder payers from maximizing the strategic benefits of CMS-0057. https://lnkd.in/eFfrNxFK?
Janice Reese’s Post
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CMS is turning up the heat on payers with new FHIR-based data sharing rules. Is your organization ready for the value-based revolution? The quest for value in healthcare is nothing new, but CMS is raising the stakes. New regulations mandating the use of FHIR® are forcing payers and providers to step up their game and compete on quality and outcomes, not just cost. Read more in our latest by Jennifer Bresnick here: https://hubs.ly/Q02QDtww0 #healthcare #digitaltransformation CHIME Digital Health Insights
Why CMS is lighting a FHIR under payers to compete on value
dhinsights.org
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There is some interesting stuff in the HTI-2 proposed rule. Check out are brief overview blog for a recap. We'll be digging into different aspects of the rule in future blog posts so be sure to keep your eyes peeled.
New blog post alert! POCP Regulatory Resource Center Lead, Kim Boyd, dives into the game-changing HTI-2 proposed rule released by the ONC. This rule aims to revolutionize interoperability and information sharing in healthcare. Here are some key highlights: 1. New Certification Criteria Public Health IT and Payer IT systems certification. 2. Impacted Stakeholders Health IT Developers, Healthcare Providers, Public Health Agencies, and Health Plan/Payers. 3. Technology and Standards Updates USCDI v4 adoption, multi-factor authentication, and more. 4. FHIR API Certification New API certification criteria aligned with CMS requirements. 5. ePrescribing and Real-Time Prescription Benefit Modernizes electronic prescribing and improves medication cost transparency. 6. Bulk Data Enhancements Latest HL7 FHIR Bulk Data Access implementation. Don't miss out on the full details and implications for your organization. Read the full blog and reach out to Kim Boyd for more insights! ONC HTI-2 Proposed Rule: A Leap Forward in Healthcare Interoperability https://hubs.li/Q02GgRNL0 #Healthcare #Interoperability #HealthIT #ONC #HTI2 #FHIR #USCDI #TEFCA
ONC HTI-2 Proposed Rule: A Leap Forward in Healthcare Interoperability
blog.pocp.com
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Struggling to better understand how pricing transparency data can be used in your practice? Let SumHealths comprehensive expertise and atlas of both hospital pricing transparency, and newly introduced payer data, provide a new means to serve your patients in this new era of pricing transparency. In today's healthcare landscape, transparency is not just a regulatory requirement but a cornerstone of patient trust and practice efficiency. At SumHealth, we provide comprehensive pricing transparency data, empowering practitioners to enhance their practice's transparency and develop detailed, itemized billing structures. Transparency in healthcare pricing is pivotal for building patient trust and ensuring compliance with industry standards. By leveraging SumHealth's extensive data, practitioners can gain insights into their service charges relative to other hospitals and practices. Our pricing transparency data offering is done within the following terms: (1) Comparative analysis platform which enables you to align your pricing strategies with market standards, fostering a transparent environment that patients appreciate. We share this comparative analysis through the SumHealth platform by giving you the ability to generate your own reports, OR our team at SumHealth can work together with you to create specific insights based on the services and prices that you would like to compare and contrast. (2) A web-based application for you and your patients to use at the point of care. Interactively search through all the prices available for services that you are prescribing for your patients to present prices that they can expect when receiving care at a practice different from yours. Patients are more likely to trust and remain loyal to practices that are upfront about their pricing. Transparent, itemized bills demystify healthcare costs, enabling patients to see exactly what they are paying for. This clarity can lead to higher patient satisfaction, positive reviews, and increased referrals, ultimately contributing to the growth of your practice. In a competitive healthcare market, practices that offer transparency stand out. Using SumHealth's data to develop transparent billing practices, you position your practice as a leader in ethical and patient-centered care. This distinction can attract more patients who value honesty and clarity in their healthcare providers. Embracing transparency through detailed, itemized billing aligns your practice with regulatory standards, builds trust, and enhances operational efficiency. SumHealth is committed to providing the data and support you need to implement these practices seamlessly. Join us in transforming healthcare transparency for the betterment of your training and the satisfaction of your patients. #pricingtransparency #healthcare #primarycare #medicare #medicaid
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#PriceTransparency is emerging as a driving force behind patient satisfaction and regulatory compliance. Explore how #healthcare organizations are adapting to this new reality and find out how #SEI can guide your journey toward compliance and success.
SEI | Insights | New Year, New Price Transparency Rules for Healthcare
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#PriceTransparency is emerging as a driving force behind patient satisfaction and regulatory compliance. Explore how #healthcare organizations are adapting to this new reality and find out how #SEI can guide your journey toward compliance and success.
SEI | Insights | New Year, New Price Transparency Rules for Healthcare
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#PriceTransparency is emerging as a driving force behind patient satisfaction and regulatory compliance. Explore how #healthcare organizations are adapting to this new reality and find out how #SEI can guide your journey toward compliance and success.
SEI | Insights | New Year, New Price Transparency Rules for Healthcare
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#PriceTransparency is emerging as a driving force behind patient satisfaction and regulatory compliance. Explore how #healthcare organizations are adapting to this new reality and find out how #SEI can guide your journey toward compliance and success.
SEI | Insights | New Year, New Price Transparency Rules for Healthcare
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#PriceTransparency is emerging as a driving force behind patient satisfaction and regulatory compliance. Explore how #healthcare organizations are adapting to this new reality and find out how #SEI can guide your journey toward compliance and success.
SEI | Insights | New Year, New Price Transparency Rules for Healthcare
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#PriceTransparency is emerging as a driving force behind patient satisfaction and regulatory compliance. Explore how #healthcare organizations are adapting to this new reality and find out how #SEI can guide your journey toward compliance and success.
SEI | Insights | New Year, New Price Transparency Rules for Healthcare
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