Inside the Onyx CMS-0057 Playbooks
From Mandate to Measurable Value The Interoperability and Prior Authorization Final Rule CMS-0057 is reshaping how payers, providers, and patients exchange health data. It builds on CMS-9115 with expanded use cases, bi-directional APIs, and higher expectations across four tracks: Payer-to-Payer, Provider Access, Patient Access, and electronic Prior Authorization (ePA). Most provisions must be live by […]
How OnyxOS and HL7 FHIR Standards Enable Payers and Providers to Meet Price Transparency Mandates
The healthcare industry is being pushed towards greater transparency, and a new driver of this change is the Presidential Executive Order Empowering Patients through Radical Price Transparency. Onyx can help.
What’s the difference between “Patient Access API” and “Provider Access API”?
The latest Proposed rule from CMS addressing Prior Authorization (December 13, 2022) also expands the Patient Access API and adds a Provider API. Provider Access API and Patient Access API are two types of application programming interfaces (APIs) that allow different types of users to access member health information. Both are based on HL7 Fast […]