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Turning the Tide: Essential Strategies for FHIR-Based Interoperability in Electronic Prior Authorization for Providers

Publisher IDC
Published Jun 21, 2024
Length 13 Pages
SKU # IDC18912478

Description

Turning the Tide: Essential Strategies for FHIR-Based Interoperability in Electronic Prior Authorization for Providers


This IDC Perspective provides a road map for healthcare organizations to navigate implementing ePA solutions leveraging FHIR standards. Healthcare providers can achieve seamless data exchange between ePA systems, EHRs, RCM, payer systems, and other health IT applications and platforms. This level of interoperability eliminates data silos, reduces manual effort, and streamlines the entire PA process."The adoption of FHIR-based ePA solutions will be akin to a renaissance for U.S. healthcare," says Mutaz Shegewi, senior research director, Worldwide Healthcare Provider Digital Strategies. "U.S. healthcare provider organizations continue to battle traditional, outdated processes and dreaded, paper-based beasts. ePA is a decisive victory that lies ahead on the horizon. The future of PA for U.S. healthcare is unquestionably digital, intelligent, and on FHIR."

Please Note: Extended description available upon request.

Table of Contents

13 Pages
Executive Snapshot
Situation Overview
The Future of PA Is Digital
Recommendations:
The Future of PA Is Intelligent
Recommendations:
Advice for the Technology Buyer
Phase 1: Building a Strong Foundation
Phase 2: Optimizing the Workflow
Automated Workflow Integration
Provider and Payer Collaboration
Patient-Centric Approaches
Phase 3: Staying Ahead of the Curve
Next-Generation EHRs
Next-Generation RCM
Traditional AI
Generative AI
Phase 4: Investment and ROI
Budget Allocation
ROI Considerations
Phase 5: Partnering for Success
Vendor Evaluation and Selection
Strategic Recommendations
Additional Considerations
Learn More
Related Research
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