Turning the Tide: Essential Strategies for FHIR-Based Interoperability in Electronic Prior Authorization for Providers

Executive Snapshot

• Figure: Executive Snapshot: Fast Healthcare Interoperability Resources-Based Interoperability in Electronic Prior Authorization for Providers

Situation Overview

• Table: Challenges in the Prior Authorization Process

• The Future of PA Is Digital

• Recommendations:

• The Future of PA Is Intelligent

• Recommendations:

Advice for the Technology Buyer

• Phase 1: Building a Strong Foundation

• Phase 2: Optimizing the Workflow

• Automated Workflow Integration

• Provider and Payer Collaboration

• Patient-Centric Approaches

• Phase 3: Staying Ahead of the Curve

• Next-Generation EHRs

• Next-Generation RCM

• Traditional AI

• Generative AI

• Phase 4: Investment and ROI

• Budget Allocation

• ROI Considerations

• Phase 5: Partnering for Success

• Vendor Evaluation and Selection

• Strategic Recommendations

• Additional Considerations

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• Related Research

• Synopsis