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Most providers say having the majority of their payers support the Prior Authorization API requirements is extremely important.
“Native American Heritage Month is a celebration that we’re still here,” says Marcelino C. Flores, Tribal Liaison, Pima County Health Department, Arizona.
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
Impacted payers need to send prior authorization decisions within 72 hours for urgent requests and seven days for standard requests.
Saint Joseph's Medical Center paid $80,000 to OCR and agreed to implement a corrective action plan.
HHS released information blocking proposed rule with monetary disincentives to increase electronic health information sharing.
Modernizing data means shifting it from an asset to a utility, to ensure it's usable for patients, providers and payers, a HIMSS23 panel said.
HDUs enable specific, defined use cases, with extra protections to ensure patient privacy and protection.
The goal was to improve outcomes, reduce the recidivism rate and send inmates back into the communities with coherent care plans.
The challenge of population health is the ability to integrate and share the data for health systems to act upon the information.
