Will CMS Final Rule Reduce Provider and Payer Burden?

February 22, 2021

Building on the CMS Interoperability and Patient Access final rule, the new rule would place new requirements on Medicaid and CHIP managed care plans, state Medicaid and CHIP fee-for-service programs, and Qualified Health Plans (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of health care data, and streamline processes related to prior authorization. The rule would require increased patient electronic access to their health care information, and would improve the electronic exchange of health information among payers, providers, and patients. Together, these policies would play a key role in reducing overall payer and provider burden and improving patient access to health information.

During the 45 minutes session, our leaders discussed some of the key aspects like

  • Why is interoperability in healthcare important?
  • What is CMS final rule and how will the Payer and Provider fraternity play out in the new ecosystem?
  • How improving the electronic exchange of healthcare data, and streamline processes can reduce cost and increase consumer experience?
  • Future implications of the CMS final rule

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