Knowledge Center
WEDI provides a full suite of resources designed to help organizations better understand and manage health IT. The Resources section provides access to WEDI’s various tools and library of health IT information.
We strive to make the approval process of our work products as transparent as possible. White papers, issue briefs and surveys must be approved by the Peer Review Committee. Workgroup charters, new workgroups and co-chairs must be approved by the Work Group Leadership Committee. Comment letters and WEDI policies must be approved by the Policy Committee.
Resources
Simplification Push Yields Major PriorAuthorization Win
Knowledge Center Family physicians got several administrative simplification wins in CMS’ Jan. 17 finalization of a long-anticipated prior authorization rule that reflects the AAFP’s staunch advocacy. As the Academy called for following CMS’ December 2022 proposal, the final rule will expand and strengthen the electronic prior authorization system for Medicare Advantage plans, dramatically lessen the…
Read MoreHow CMS’ prior authorization rule will affect insurers
Knowledge Center The biggest adjustment involves altering processes so prior authorization decisions are automatically embedded into electronic health records. The change will be a dramatic one: Prior authorization represents one of the most manual processes carried out by health insurers, according to a 2022 survey by the Council for Affordable Quality Healthcare, a nonprofit that advocates…
Read MoreThe Road to Interoperability & Prior Authorization: A CMS Overview
Knowledge Center We are pleased to welcome Alexandra Mugge, the Chief Health Informatics Officer and Director at the Centers for Medicare & Medicaid Services, for an in-depth walkthrough of the recently finalized CMS Interoperability and Prior Authorization Final Rule (CMS-0057). WEDI has developed 7 unique virtual events to take place between February and April that…
Read MoreCMS finalizes rule setting prior authorization deadlines for payers
Knowledge Center To combat growing criticism of prior authorization delays by payers, Centers for Medicare & Medicaid Services finalized a rule Wednesday that requires health plans to send prior authorization decisions within three days for urgent requests and seven days for standard requests starting in 2026. The guidelines will affect Medicare Advantage, Medicaid, the Children’s…
Read MorePodcast Episode 137: The Power of Community – A Chat with Shweta Maniar, Global Director, Healthcare & Life Sciences, Google
Knowledge Center Michael is joined by Shweta Maniar, who heads up Healthcare & Life Sciences at Google. Shweta opens up about how her formative years of volunteering molded her perspective on the power of technology in revolutionizing healthcare, emphasizing the crucial roles of trust and community. She also drops some pearls of wisdom for women…
Read MoreHealth care organizations praise CMS new rules on prior authorizations, interoperability
Knowledge Center On Jan. 17, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) announced regulations aimed at speeding up the prior authorization (PA) process and promoting greater interoperability. Known as CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), there will be new requirements starting in 2026 for payers to have quicker turnaround on…
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