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Video: Adopting a FHIR-based approach to Prior Authorization, Presented by InterSystems

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 31, 2023 With the currently proposed CMS rule, 0057-P, Advancing Interoperability and Improving Prior Authorization Processes, improving this process has become a hot topic. Yet, looking across the industry, there are still many bespoke solutions that don’t solve for…

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Podcast Episode 117: Breaking Down the Silos on the Way to Achieving Interoperability – A Conversation w/ Darena Solutions CEO Pawan Jindal, MD

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 25, 2023 Michael chats with Dr. Pawan Jindal, MD, CEO of Darena Solutions, a St. Louis-based tech company that delivers EHR and other health IT solutions for vendors and patients. They discuss how technology, the 21st Century Cures Act,…

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Video: 275 (and 277 RFAI) Early Adopters

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 24, 2023 Mary Lynn Bushman, Agile Product Manager, National Government Services Sherry Wilson, Executive Vice President, Chief Compliance Officer, Jopari This session from the 2023 WEDI Summer Forum spotlights the Health Care Attachments for Claims and Prior Authorizations. Mary…

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Congress Proposes Relief on Prior Authorization, but CMS is Ahead of the Game

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 22, 2023 A couple of new bills, or rather, retreads of old bills, demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). The Price Transparency bill’s Title III section (“Establishing Requirements with Respect to the…

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August Emerging Tech Meeting with Mike Rapach, President & CEO of CareFirst Health Plan Maryland

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 18, 2023 An important aspect to adopting new technology is to partner and justify projects with senior management. Mike Rapach, President & CEO of CareFirst Health Plan Maryland organization, led this meeting. Originally a very innovative technologist, Mike has…

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Podcast Episode 116: Guiding a Path for Patient Centric Health Care, A Conversation with Path’s Kermit Farmer

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 18, 2023 Michael speaks with Kermit Farmer, founder and Chief Ethos Officer of Paths, a service that gives doctors and team members the ability to create and share educational material to help their patients in the journey from diagnosis…

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Solving for Automated Prior Authorization: Three Things You Need to Know

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 17, 2023 Written by Maxim Abramsky, AVP Product Management, Edifecs Prior authorization has become increasingly burdensome for patients, providers, and even health plans. Most prior authorization requests are done manually, in a non-standard process that often results in substantial…

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Podcast Episode 115: Data – The Key to Addressing Health Disparities

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 11, 2023 From a recent WEDI Health Equity Workgroup meeting, a discussion with Mark Megerian, Technology Fellow with Optum. Visit United Health Foundation’s comprehensive data and SDOH tool, America’s Health Rankings (https://www.americashealthrankings.org/) to see some of the work United…

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Opportunities and Challenges: Moving from ICD-10 to ICD-11

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 10, 2023 Written by Robert Tennant, VP Federal Affairs, WEDI Developed by the World Health Organization (WHO), the International Classification of Diseases, 11th Revision (ICD–11) is the international standard for systematic recording, reporting, analysis, interpretation and comparison of healthcare…

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The Weekly – August 2023

Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams August 9, 2023 August 7th August 14th August 21st August 28th Subscribe to The Weekly! Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the News…

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