Prior Authorization and Interoperability – Changing the Dynamics of Medicare
CMS has put several requirements to achieve greater transparency into the new Prior Authorization and Interoperability Rule.
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CMS has put several requirements to achieve greater transparency into the new Prior Authorization and Interoperability Rule.
Jill DeGraff, B.well Connected Health’s senior vice president of regulatory, believes the ONC’s new HTI-1 rule is a step in the right direction that will improve data exchange for providers, health tech vendors and patients. She applauded the rule for preserving TEFCA as a voluntary framework and for establishing FHIR-based interoperability as the industry’s de facto standard.
Last week, the ONC announced that TEFCA had finally gone live. This followed years of the ONC heralding the project's potential to boost interoperability and increase patients’ access to their healthcare data. However, former ONC Chief Don Rucker believes that TEFCA is built on an archaic data exchange protocol that will prevent the initiative from being useful.
Five QHINs have completed the onboarding process, according to ONC, and will now drive higher levels of healthcare information interoperability across the United States.