How Elligint Health helped the Illinois Health Practice Alliance unify claims, clinical, and social determinants data across a 100-provider network — delivering double-digit quality improvements within a year.
Author: vanessa
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Beyond the Plumbing: Why CMS-0057-F Won’t Fix Prior Authorization on Its Own
For more than a decade, CMS has steadily pushed the industry toward interoperability — from the meaningful use era of electronic health records (EHRs) to today’s payer-to-payer and patient-access API mandates. CMS-0057-F is the latest, and in many ways most ambitious, chapter in that story: it takes direct aim at electronic prior authorization, requiring payers...