Expanding Payer-Provider Landscape in FHIR
summary
Da Vinci shows concrete outputs: 11 published IGs with reference implementations, sandboxes and connect-a-thon test beds; STU1 payer data exchange, formulary and directory IGs map to CMS rules and produce live FHIR endpoints in July; prior‑auth work uses CDS Hooks + a Questionnaire driven by CQL and a FHIR Claim-to‑X12 278 pilot under a Da Vinci HIPAA exception to cut repeat prior‑auth work; payer‑to‑payer and coverage‑decision IGs support full clinical handoffs and have started production testing.
AI-written summary · about
chapters (16)
- 0:00Introduction
- 1:10Davinci Overview
- 6:33Davinci Summary
- 8:32Davinci Core Work
- 10:08Davinci Implementation Guides
- 15:26Health Record Exchange
- 17:19Payer Data Exchange
- 20:11Provider Directory
- 20:58Formulary
- 21:44PeertoPeer Data Exchange
- 25:55PDX Data Exchange
- 26:52Terminology
- 27:49HighLevel View
- 28:34Clinical Data Exchange
- 31:41Prior Authorization
- 37:43Quality Improvement