Interoperability

This includes the biggest bang for the buck tasks such as prior authorization and complex claims, says Venkat Kavarthapu, CEO of Edifecs.

<p class="MsoNoSpacing"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt">FHIR at Scale Taskforce (FAST) gives a level of interoperability that can't be met any other way and takes in groups such as payers that have yet to fully participate, says ONC National Coordinator Micky Tripathi.</span></span></span></p>

<p>CDS Hooks is a standard for web service that uses FHIR to represent the patient data, but it also has a standard to provide clinical decision support recommendations, says Dr. Howard Strasberg, vice president of medical informatics at Wolters Kluwer, who with Robert Jenders, professor of Medicine at UCLA will be speaking at HIMSS24.<br />  </p>

<p>CMMI has released the Enhancing Oncology Model as a payment pilot around care for seven types of cancers, says Jennifer Goldsack, CEO of the Digital Medicine Society (DiMe).</p> <p> </p>

Impacted payers need to send prior authorization decisions within 72 hours for urgent requests and seven days for standard requests. 

<p>The last mile is ensuring the data is being used for patient care, says Dr. Holly Miller, CMO at MedAllies, who also works on the Sequoia Project's Data Usability Taking Root initiative.<br />  </p>

<p>The Digital Health Indicator is a good assessment to know what’s been achieved and what needs improvement, says Dr. Chien-Tzung Chen, superintendent of Chang Gung Memorial Hospital.<br />  </p>

<p>Taiwan has a single payment insurance system and pay-for-performance, but the challenges of interoperability and measuring outcomes remain, says Dr. I-Rue Lai, vice superintendent at National Taiwan University Hospital.<br />  </p>

HHS released information blocking proposed rule with monetary disincentives to increase electronic health information sharing.

<p>Having a central repository for consent would promote both interoperability and health equity, says Daniel Stein, president of Stewards of Change Institute.<br />  </p>