Provider Directories, Interoperability, and What Medicaid & MA Plans Can Learn from Real-World Connectivity: A Conversation with Defacto Health
By Mark Scrimshire, Chief Interoperability Officer, Onyx Accurate, accessible provider directory data sits at the foundation of almost every function in our healthcare system: member access, network adequacy oversight, referral management, prior authorization automation, and CMS-driven transparency initiatives. As CMS pushes toward nationwide standardization — including the forthcoming National Provider Directory — Medicaid and Medicare Advantage plans […]
Who is Impacted by the Prior Authorization Rule?
Learn who is impacted by the CMS Prior Authorization Rule (CMS-0057)
What is the CMS-0057 Rule?
CMS Recently released the Prior Authorization Rule (CMS-0057). What is it about?