The CMS Interoperability and Prior Authorization Rule poses challenges and opportunities for payers. This white paper explains the rule's API mandates and data sharing with payers, members, and providers. It shows how payers can improve care coordination, member engagement, and streamline prior authorizations.
Key topics:
· Payer-to-payer data sharing for complete member records
· Member health data access via apps
· Provider access to patient histories in EHRs
· Automating prior authorization to lessen provider abrasion
Learn how to utilize the CMS rule in the full white paper.