HTI 1 is often introduced as a certification update. That is correct, but it does not capture what leadership teams will…
Interoperability standard
Prior Authorization API: What Breaks in Real Implementations and How to Avoid It
Most payer teams can stand up a prior authorization API. They can: That part is doable. The trouble starts after go-live, when providers begin…
CMS Interoperability and Prior Authorization Final Rule for Payers
People are calling this an “API rule,” but that framing causes payers’ trouble. APIs are the visible output. The hard part is…
What Is TEFCA and Why It Matters for U.S. Healthcare
For years, the promise of health data interoperability has felt just out of reach. Despite a growing network of EHR…
A Guide to the United States Core Data for Interoperability
USCDI is the government’s way of saying: “Here’s the basic health data everyone should be able to share.”