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Alex Baker

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Alex Baker's Latest Blog Posts

13 Areas to Improve Electronic Prior Authorization

Alex Baker | May 31, 2022

In January 2022, ONC issued a Request for Information (RFI) that sought public input on the ONC Health IT Certification Program and how it could incorporate standards, implementation specifications, and certification criteria related to electronic prior authorization. Shortly thereafter, ONC charged the Health Information Technology Advisory Committee (HITAC) with providing input and recommendations in response to this RFI. The Electronic Prior Authorization (ePA) RFI Task Force of the HITAC led consideration of the charge and developed a report and recommendations that were recently approved by the full HITAC.

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How Proposed Implementation Specifications for Application Programming Interfaces Would Help to Further Reduce Burden

Alex Baker | December 22, 2020

On December 10, 2020, the Department of Health and Human Services released a notice of proposed rulemaking Reducing Provider and Patient Burden by Improving Prior Authorization Processes, and Promoting Patients’ Electronic Access to Health Information, which builds on the Centers for Medicare & Medicaid Services’ (CMS) Interoperability and Patient Access final rule released earlier this year. This new proposed rule includes additional proposed requirements for payers to implement standards-based application programming interfaces (APIs) that can help address critical health care challenges such as improving the efficiency of prior authorization processes.

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New Case Studies Explore Communities Supporting Accountable Care

Alex Baker | October 31, 2014

A growing number of care providers across the country are participating in value-based payment arrangements that are helping to transition the nation away from traditional fee-for-service methods of paying for health care. While fee-for-service models offer little accountability for health outcomes, more and more providers are using new models that reward their ability to deliver higher quality care with greater efficiency.

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