The CMS 2026 Prior Authorization Rule is pushing healthcare providers and payers to adopt automation, structured data formats, and real-time policy mapping to meet strict turnaround deadlines.

In 2026, new CMS interoperability mandates and UnitedHealthcare’s referral requirements are reshaping how PointClickCare and CarePort users manage referrals and prior authorizations. These changes ...

On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and ...

Health plans are increasingly recognizing the need for digitized, structured policies to automate authorization workflows and meet CMS interoperability requirements. Cohere Health's Policy Studio uses ...

The HL7 Application Programming Interface (HAPI) Fast Healthcare Interoperability Resources (FHIR) is an open-source implementation of the HL7 FHIR standard designed for healthcare interoperability, ...

Patient-Generated Health Data (PGHD) collected through wearable devices such as smartwatches offers new opportunities for personalized care, chronic disease management, and preventive health. Despite ...

Health Level Seven International maintains a corpus of interoperability standards for the healthcare industry. ((whiteMocca/Shutterstock)) Health Level Seven ...

Strategic collaborations between payers, providers and health IT vendors are accelerating gains in healthcare efficiency, quality and financial performance, according to the latest KLAS Points of ...

Healthcare is undergoing a foundational shift, moving from a reactive, siloed approach to a proactive, networked and smart one. Behind this revolution stand two compelling technologies: AI and Fast ...