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The APIs are the Easy Part: Maximizing Your ROI on CMS Prior Authorization and Interoperability Requirements

The APIs are the Easy Part: Maximizing Your ROI on CMS Prior Authorization and Interoperability Requirements

HIMSS Webinar

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In this HIMSS webinar, Steven Berkow, InterSystems Senior Advisor for Value-based Care, distills from the 1000+ page regulation the handful of provisions most critical to maximizing ROI, discuss chief barriers based on recent focus groups, and share emerging best practices being deployed by early adopters.

The APIs are the Easy Part: Maximizing Your ROI on CMS Prior Authorization and Interoperability Requirements - webinar

Speakers
Steven Berkow, Senior Advisor, Value-Based Care, InterSystems
Steven advises payers on strategies to unify clinical and claims data, automate quality measurement, and enhance operational efficiency across value-based care programs.

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From complexity to clarity—learn how to streamline DTR workflows and harness AI for faster, fairer prior authorization decisions. About this Session Even with CMS‑0057 and the Da Vinci DTR Implementation Guide, documentation burdens still hold back electronic prior authorization. In this session, Optum’s Stephan Rubin shows how to make DTR practical by digitizing medical policies, giving clinicians tools to gather the right information, and streamlining workflows. Next, Anna Taylor (MultiCare) hosts a discussion with Julie Smith (InterSystems), Danny Cawood (MCG Health) and Joe Ellis/Stephan Rubin (Optum). Julie explains why clean, well‑organized data is essential for scalable automation.

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