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Video: Adopting a FHIR-based approach to Prior Authorization, Presented by InterSystems

Knowledge Center Video: Adopting a FHIR-based approach to Prior Authorization, Presented by InterSystems August 31, 2023 With the currently proposed CMS rule, 0057-P, Advancing Interoperability and Improving Prior Authorization Processes, improving this process has become a hot topic. Yet, looking across the industry, there are still many bespoke solutions that don’t solve for the scalability…

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Video: 275 (and 277 RFAI) Early Adopters

Knowledge Center Video: 275 (and 277 RFAI) Early Adopters August 24, 2023 Mary Lynn Bushman, Agile Product Manager, National Government Services Sherry Wilson, Executive Vice President, Chief Compliance Officer, Jopari This session from the 2023 WEDI Summer Forum spotlights the Health Care Attachments for Claims and Prior Authorizations. Mary Lynn and Sherry share early adopters’…

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August Emerging Tech Meeting with Mike Rapach, President & CEO of CareFirst Health Plan Maryland

Knowledge Center August Emerging Tech Meeting with Mike Rapach, President & CEO of CareFirst Health Plan Maryland August 18, 2023 An important aspect to adopting new technology is to partner and justify projects with senior management. Mike Rapach, President & CEO of CareFirst Health Plan Maryland organization, led this meeting. Originally a very innovative technologist,…

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The Future of Health Care? Exploring the SMART Health Insurance Card

Knowledge Center The Future of Health Care? Exploring the SMART Health Insurance Card July 18, 2023 Launched by The Commons Project, in collaboration with the CARIN Alliance and the VCI coalition of public and private partner organizations, the SMART Health Insurance Card is based on the SMART Health Card QR code standard that was adopted…

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Emerging Tech Meeting on ChatGPT

Knowledge Center Emerging Tech Meeting on ChatGPT June 22, 2023 Zachary Lipton, a well-noted Carnegie Mellon (CMU) Assistant Professor of Machine Learning Director of the Approximately Correct Machine Intelligence (ACMI) lab, shared his experiences in delivering machine learning applications for patients and providers with and without ChatGPT. With his experiences delivering practical successful machine learning…

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Emerging Tech Meeting: ChatGPT

Knowledge Center Emerging Tech Meeting: ChatGPT May 19, 2023 The Emerging Technology Subworkgroup continued their series on ChatGPT. Randy Swift, Co-Chair of Emerging Technologies facilitated a panel discussion with Vivek Tripathi, M.D., AVP Sutherland Healthcare, Gary Burt, Vice President Product Management, Sutherland, and Ajay Jetty, Associate VP, Product Management, Sutherland. We discussed the opportunities available…

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2023 WEDI Workgroup Open House

Knowledge Center 2023 WEDI Workgroup Open House May 19, 2023 Everyday, WEDI members volunteer their time and talent to WEDI workgroups and subworkgroups to provide thoughtful leadership and common-sense approaches that enhance the exchange of clinical and administrative healthcare information. WEDI is proud to present a special showcase for the workgroups to inform the industry…

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WEDI Quick Hits: Digital Identity

Knowledge Center WEDI Quick Hits: Digital Identity April 25, 2023 Enjoy this 10min overview of digital identities in health care from special guest John Kelly. John is a healthcare CIO and eBusiness executive with extensive experience across healthcare enterprises and integrated delivery systems. Expertise and innovations in payer / provider collaborations and the exchange of…

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Rethinking Prior Authorization with AI, presented by Banjo Health

Knowledge Center Rethinking Prior Authorization with AI, presented by Banjo Health April 21, 2023 Banjo Health’s Head of Data Science, Shannon Fee and Head of Product, Vanessa Cheng showcasing how they are using artificial intelligence to dramatically reduce the time it takes to process prior authorization requests. With their innovative approach, health insurers can respond…

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