Implementing APIs and FHIR Technology: A Vendor Perspective
Learn how vendors are adapting to federal mandates on APIs and FHIR technology, overcoming challenges, and driving innovation in healthcare data exchange.
Implementing FHIR Technology: A Provider Perspective
This issue brief details the challenges providers face in improving interoperability and adopting FHIR.
Increasing Transparency of Healthcare Charges: It’s a Manual Process
This issue brief examines how GFEs are generated and communicated and opportunity areas to reduce provider burden.
Delegated Management Vendors and the Automation Opportunity
This issue brief explores how plans and providers interact with delegated management vendors (DMVs) and identifies opportunities to improve how information is exchanged.
How Health Plans Connect: Payer-to-Payer Data Sharing
This issue brief outlines health plans’ strategies and considerations for interoperability and the use of FHIR APIs to exchange data.
Clinical Documentation
This issue brief, published in June 2022, outlines challenges faced by health plans and providers when exchanging clinical and administrative attachments for prior authorizations and claims.
Accelerating Interoperability and Patient Access
This issue brief explores the healthcare industry's efforts towards meeting the goals of the 2020 CMS Interoperability Rule.
Communicating Attribution: Accessibility of Information to Support Value-based Payment Initiatives
Published in November 2021, this issue brief outlines how patient attribution is exchanged and the challenges providers face related to attribution.
Healthcare Utilization During a Pandemic: How COVID-19 Impacted Administrative Transactions
COVID-19 affected every level of healthcare. This issue brief, published in Spring 2021, explores the impact the pandemic had on healthcare utilization and administrative transactions.
Engaging with HL7 FHIR: Health Plan Baseline Readiness and Challenges
In the Spring of 2020, the Centers for Medicare & Medicaid (CMS) released Final Rules supporting industry interoperability and patient information access. This issue brief explores medical plans' readiness and barriers to HL7 FHIR implementation.
Provider Directories: What impacts accuracy
CAQH dives deep into the persisting challenges of directory inaccuracies and approaches to resolve them