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"Maximize ROI While Meeting CMS Interoperability & Prior Authorization Requirements"

Turn compliance into a competitive advantage. Learn how payers and healthplans can go beyond meeting CMS-0057-F mandates to unlock lasting operational, clinical, and financial gains.

The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) is more than a compliance mandate—it’s a strategic opportunity. While the rule requires significant investment in FHIR®-based APIs, forward-thinking payers are leveraging these changes to:

• Integrate claims, clinical, and SDOH data into longitudinal health records
• Streamline prior authorization to reduce provider abrasion and improve member satisfaction
• Enhance care coordination with providers, members, and other payers
• Improve HEDIS scores and STAR ratings through better data liquidity

In this in-depth white paper, you’ll get:

• A clear breakdown of each CMS-0057-F requirement, timelines, and impacted payer types
• Operational and workflow considerations for API deployment
• Strategies to extend the value of compliance across all lines of business
• Best practices for automating data exchange and improving interoperability

Don’t just comply—Realize the full potential. This guide will help you align IT, clinical, and business teams to meet regulatory deadlines while strengthening your competitive position in value-based care.

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