CMS Rule 0057 mandates plan investment in IT to enable electronic prior authorization (ePA). With so many competing priorities, many IT and UM departments must choose between “check-the-box” compliance and strategic, interoperable solutions.
This session highlights five key questions health plan leaders must answer to ensure their FHIR API investments for ePA not only support compliance but also advance broader goals for interoperability and ROI.
Speakers
- Steven Berkow – Senior Advisor, Value-Based Care, InterSystems
- Jessica Jowdy – Manager, Healthcare Sales Engineering, InterSystems