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Information-Blocking Requirements to Expand Starting Oct. 6; Medicine Requests Delay

Since April 2021, federal rules requiring physicians to give patients prompt access to their electronic health information (EHI) have been focused on a narrow subset of those data. Starting Oct. 6, however, the so-called information-blocking requirements are set to broaden that scope significantly.

October 5, 2022

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.

September 14, 2022

‘This is pharma’s dream’: How drugmakers are turning telehealth into a marketing gold mine

“Talk to a Doctor Now:” A look on how drug makers are cashing in on telehealth

Making medications more accessible to support desirable therapeutic outcomes and adherence has been a long-standing goal of both Pharma and providers. However, leveraging technology, especially ad hoc or on-demand virtual care visits for this purpose is controversial on several levels. STAT reporting highlights both the potential benefits and the questions about this practice.

September 14, 2022