We’re excited to share insights from our recent participation in the HL7 FHIR Connectathon. This important event, hosted by HL7 International Working Group, brings together industry leaders to collaborate, discuss emerging trends, and develop healthcare interoperability standards.
At Avaneer Health, we’ve been actively engaged in advancing healthcare interoperability that supports the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) through our secure, trusted network and platform. Our platform empowers organizations to exchange data seamlessly while maintaining data governance and privacy.
Through the Connectathon, we’re able to collaborate with clients and industry partners, exploring innovative approaches to address the challenges and opportunities presented by the CMS Final Rule. Our focus is on developing solutions that:
- Streamline data exchange. Our platform enables efficient and secure data-sharing directly between payers and providers, reducing administrative burdens and improving patient care without centralizing data.
- Simplify connectivity and transaction routing. The Avaneer Health Network provides a single, interoperable platform with endpoint directory services, reducing the need for complex point-to-point connections.
- Enhance consent management. We’re working on a decentralized, multi-party consent exchange service that will be validated at critical points along the workflow to ensure that patient data is shared only with authorized entities.
By participating in these collaborative efforts, we’re making significant strides toward a more connected and efficient healthcare ecosystem. We’re committed to improving payer-provider relationships by enabling them to meet the requirements of the CMS Final Rule and, ultimately, improving patient outcomes. In the coming months, we’ll share more details about our new solutions and how they can benefit your organization.
Stay tuned for updates on our progress and how Avaneer Health is simplifying healthcare interoperability.
Adria Sherman
Senior Product Manager
Avaneer Health
In This Issue
- Skyrocketing Hospital Administrative Costs, Burdensome Commercial Insurer Policies Impacting Patient Care
- While business leaders look inward for AI’s impact, tech leaders look outward
- Reimagining healthcare industry service operations in the age of AI
- Harnessing Technology to Restore the Doctor-Patient Relationship
- Strategic Guidelines for Getting Started with FHIR
Industry Highlights
Skyrocketing Hospital Administrative Costs, Burdensome Commercial Insurer Policies Impacting Patient Care
American Hospital Association
Payers are using increasingly sophisticated algorithms to flag potential claim issues, especially for medical necessity. This has resulted in skyrocketing denial rates and care delays. Interestingly, an estimated 75% of denials are eventually overturned, which means they should have been paid in the first place. This has put an even greater burden on providers at a time when burnout and stress are already overwhelming.
While business leaders look inward for AI’s impact, tech leaders look outward
Deloitte Insights
Which of the AI-related key performance indicators do healthcare organizations prioritize most: internal process-related benefits or external sales and customer satisfaction benefits? According to a survey by Deloitte, the answer depends on who you ask. These misaligned priorities have the potential to inhibit AI impact assessments and an organization’s ongoing AI investments.
Reimagining healthcare industry service operations in the age of AI
McKinsey & Company
This insightful article explores the many elements that inhibit healthcare organizations from realizing even a third of their expected ROI from their “technology transformation” initiatives. This is vitally important as organizations set out to implement AI into their operations. The article outlines several use cases and best practices to ensure they get the most from their AI efforts. If you only have time to read one article this week, this should be it.
From the Avaneer Podcast
Harnessing Technology to Restore the Doctor-Patient Relationship
In this episode, Dr. Ben Schwartz, a fellowship-trained orthopedic surgeon with more than 15 years of experience, discusses the transformative potential of artificial intelligence in enhancing clinical decision-making and patient outcomes.
From the Avaneer Blog
Strategic Guidelines for Getting Started with FHIR
How do you evaluate where to begin implementing FHIR? This blog highlights important factors for payers and providers to consider during FHIR strategy development such as regulatory compliance, data quality, system readiness, security, and customization.
