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 "U.S. healthcare provider organizations continue to battle traditional, outdated processes and dreaded, paper-based beasts.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.
- 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
- Synopsis
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