Maximize the potential of FHIR-based electronic Prior Authorization (ePA) with real-world testing. Drummond’s FHIRplace Pilot ensures seamless interoperability, compliance, and efficiency—helping you launch with confidence.
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The insights shared in this blog originate from a ViVE presentation by John Valutkevich, Director of Programs at Drummond, where he explored the complex state of app development and integration within the FHIR marketplace. What follows is a summary of his case study, capturing the analysis and perspectives discussed during the presentation:.
Self-testing has been shown to be an essential testing practice when it comes to establishing a proving ground for standards and implementation guide development. However, with the increased use and support of Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®), the question remains “Is self-testing enough to prepare vendors and users for rapid and meaningful adoption of the upcoming complex multi-party FHIR based use cases like Payer to Payer (P2P) data exchange or electronic Prior Authorization (ePA)?”
Drawing from Drummond’s extensive experience in a related industry—supply chain software interoperability standards testing—it’s become evident that a more comprehensive approach is necessary.
The Center for Medicare & Medicaid Services (CMS) has placed a significant amount of focus on ensuring that the healthcare sector adopts both FHIR-based processes. The CMS has worked toward this by enforcing multiple FHIR based mandates, including but not limited to the “CMS Interoperability and Prior Authorization Final Rule” and “The Patient Access Final Rule,”, both of which mandate the FHIR standard at different stages of the patient care workflow.
Over the last several years, healthcare providers, payers, health IT developers, regulators, and other important stakeholders have pledged their commitment to adopting the HL7® Fast Healthcare Interoperability Resource (FHIR®) standard for the future of health IT interoperability.
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