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Mark Fleming Interviewed on Out of the FHIR Podcast

Recently, Mark Fleming, Senior Director of Product, was interviewed by Out of the FHIR podcast about the current and future state of prior authorizations in healthcare. During the interview, Mark provided deep insights on what it will take to move prior authorization from the current manual and fragmented state to one that is near real-time and improves the experience for all stakeholders.  

During the conversation, Mark and podcast host Gene Vestel dig in on: 

  • How policies like CMS-0057-F will enable real-time, in-workflow data exchange but are not enough to transform prior authorizations 
  • Why API connections like those mandated in CMS-0057-F are not sufficient in today’s reality with AI and other emerging technologies  
  • Why network-based models, not point-to-point integrations, will be necessary for payers and providers to implement innovations at scale effectively 

Listen to the full interview here.