What the CMS push towards interoperability and electronic prior auth means for payers and providers

Monday, March 15th, 2021 | 1:00 PM - 2:00 PM CT

FHIR. REST. SMART on FHIR. Get beyond the tech-y codewords and learn what the latest CMS rule on Interoperability and Prior Authorization actually means for you. CMS’ proposed rule promotes electronic information exchange as the best way to increase patient access and reduce the administrative burden of prior auth on both providers and payers. But what exactly does the rule require? In this session, Andrew Johnson, VP for Electronic Prior Auth Solutions at Change Healthcare, examines CMS’ latest proposed rule with focus on implications of the new legislation; the core tech capabilities required by the rule; current technology that aligns with the rule; and the rule’s potential impact on providers.


Learning Objectives

  • Get perspective on the rule’s key points, the potential impacts on providers and payers, and what’s likely to happen next
  • Go beyond “tech speak” to understand the core tech capabilities required by the rule 
  • Understand what’s happening in the Prior Auth tech landscape now and how it aligns with the rule
  • Takeaways and next steps for moving your organization forward



A_JohnsonHeadshot - Cierra Levy

Andrew Johnson

Vice President – Electronic Prior Auth Solutions, Change Healthcare