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House passes bill to install electronic prior authorization in Medicare Advantage plans

A Key FHIR Bill Passed in the House: The Improving Seniors’ Timely Access to Care Act just passed by the House establishes an electronic prior authorization process to streamline approval of requests and create a process for “real-time decisions” for services that are routinely approved.

Fortunately, the HL7 Da Vinci FHIR Accelerator project has been working on FHIR-based standards for the prior authorization process that meet these requirements since 2018. Implementations of these standards are now being tested in FHIR Connectathons and real-world pilot projects. This is just one example of how a modern healthcare standard like FHIR can enable not just the exchange of healthcare data but the modernization of healthcare processes.

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Austin HIMSS Chapter
Blog

How FHIR is Changing Healthcare

Green Room Technology CTO Darrell Woelk presented an update on how the HL7 FHIR API is changing healthcare at the July Lunch & Learn of Austin chapter of HIMSS.

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Blog

FHIR Brief

Green Room assists healthcare technology companies in understanding and leveraging standards for interoperability and innovation as well as the sources and uses of data needed to assure adoption and enhance market growth.

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