Podcast: Payer-to-Payer Data Exchange and Price Transparency

As the healthcare landscape becomes more patient-driven, interoperability and transparency are now more critical than ever. In our latest episode of Availity On-Air, we’re thrilled to have Amanda Clifton, VP of Technology Solutions, Automation, and Core Workflow, and Jeffrey Bostelman, Staff VP of Interoperability, Clinical Strategy & Architecture, at Centene Corporation. Together, they dive into the complexities and opportunities of payer-to-payer data exchange and price transparency regulations.

These topics are more than industry buzzwords; they represent substantial shifts in healthcare policy and technology. This January, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Prior Authorization Final Rule, mandating secure, efficient data exchange among health plans by 2027. Amanda and Jeffrey discuss the importance of moving proactively to avoid penalties and connectivity delays that could disrupt member care and service.

Price transparency is another pillar of consumer-driven healthcare, aiming to empower patients with a clear view of costs so they can make informed healthcare choices. Amanda and Jeffrey break down why pricing transparency is a game-changer and what it means for the future of patient care.

Tune in to hear how Centene Corporation is tackling these pressing issues head-on and what health plans can do to stay compliant, connected, and competitive in a rapidly evolving industry.

Listen now and join the conversation about the future of interoperability and transparency in healthcare!

Join us in exploring the future of healthcare through the lens of an industry leader at the forefront of digital transformation. Listen to the episode here or wherever you access your favorite podcasts.

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Produced by Availity LLC, Availity On-Air explores the convergence of healthcare, innovation, and technology. Industry experts share their perspectives, providing listeners with insights into the future of healthcare.

Listeners are encouraged to join the conversation by sharing feedback and guest suggestions. Have a show idea? Contact me at the email below.

Matt Schlossberg is the Director of PR and Communications at Availity. He can be reached at [email protected].