Remember the classic tale of The Little Engine that Could? Moving forward on healthcare interoperability has felt like chugging uphill slowly, but as existing and new regulations come into force, momentum will shift. What can you expect to see? Improved data exchange between providers and payers, enabling streamlined processes like prior authorization automation. Mapping the regulatory path to interoperability This journey officially began back in 1996, when the Health Insurance Portability and Accountability Act—or HIPAA—set national standards for electronic health transactions and code sets, as well as privacy and security rules for protected health information. In 2003, the Medicare Prescription… Read entire article here
Late last year, Fierce Healthcare noted that “...nearly a third of healthcare resources are tied up in administrative costs, taking focus away from patient care.” The research, published by Health Affairs in 2018, reveals that billing complexity remains a source of payer-provider abrasion that must be addressed. If you want to uncomplicate the path to timely patient care, prior authorization software can help. 3 Factors that Contribute to Physician and Member Abrasion Dealing with healthcare payers—whether as a provider or a member—often results in frustration. What are the biggest hurdles to more satisfying (or at least, less irritating) experiences? Complex… Read entire article here
February 15, 2023
Benefits & Barriers: How Can You Unlock the Value of HIE for Your Organization & Where Does Prior Authorization Software Fit In?
by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization
“Our vision is better health enabled by data.” Those words are front-and-center on HealthIT.gov, the official website of the Office of the National Coordinator for Health Information Technology (ONC). In fact, in its “Playbook” for Health Information Exchange (HIE), the ONC explains, “Facilitating electronic exchange of this health information is critical to easing burden by ensuring that clinicians have the best information possible when making decisions about patient care.” So what is it, why should care and how does automated prior authorization support it? What is HIE? HIE, or Health Information Exchange, refers to sharing of electronic health information in… Read entire article here
“Old habits die hard.” Healthcare providers of all types and sizes saw the truth in that saying when EHR adoption began in earnest more than a decade ago. Many organizations struggled to overcome the status quo and embrace new tools and processes. While EHR adoption is in the rear view mirror, ongoing digital transformation has saddled your staff with what feels like never-ending change. It’s exhausting and hard, so when you add yet another change, like prior authorization software, you need to manage it in a way that makes adoption easy. Years ago a book by Chip & Dan Heath… Read entire article here
