Mel Soliz BCBS

Mel Soliz Prepares Blue Cross Blue Shield Association (BCBSA) Conference Goers for CMS Expanded Interoperability Mandates

The deadline for compliance with CMS’s expanded application programming interface (API) requirements is closer than you think. Partner Mel Soliz was invited to the esteemed BCBSA 2024 Law, Audit, Compliance & Ethics Conference to discuss the new API requirements and significant implementation challenges. Mel covered what impacted payers need to achieve over the next three years to implement an expanded Patient Access API and a new Provider Access API, Payer-to-Payer API and Prior Authorization API. Mel’s regulatory practice focuses on compliance with data privacy, access and interoperability laws (such as the Information Blocking Rule and CMS interoperability mandates as well as state mini-interoperability laws), health IT/technology service contracting, and health information networks/exchanges (including national interoperability frameworks such as TEFCA, Carequality, CommonWell, DURSA, and DxF). She regularly...

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