The APIs Are the Easy Part: Maximizing Your ROI while Meeting CMS Interoperability and Prior Authorization Requirements
Health plans should be able to harness the investment in IT infrastructure mandated by the latest CMS rule on interoperability and prior authorization to create the data liquidity needed drive top strategic goals, such as reducing provider abrasion, improving member experience, increasing productivity, and supporting value-based care. The scope of CMS-0057-F, however, is wide ranging.
This white paper:
- Summarizes new requirements for the four types of information sharing addressed, namely payer-to-payer, payer-to-provider, payer-to-member, and prior authorization submission and determination.
- Analyzes processes and workflows impacted by the regulation and resulting opportunities for performance improvement.
- Provides key “Questions to Consider” that should inform plan investment decisions.
Designed to be shared with IT, clinical, and operational leaders, the paper will help your leadership team achieve larger strategic returns on mandated plan investment while meeting regulatory requirements.
Download the report to learn more!
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