FCA | June 01, 2020
The Financial Conduct Authority has reviewed more than 500 business interruption policies from 40 insurers in order to pull together a sample of 17 policy wordings as part of its plans to bring forward a High Court test case. In an update this morning (June 1) the regulator confirmed it had selected the 17 policy wordings which will be used in the court case to represent key issues in dispute between policyholders and insurers.
Redox | November 03, 2021
Redox announces their payer-specific interoperability solution. This expansion of Redox's platform allows payers to meet current and future CMS regulatory requirements while also enabling connections with providers, partners and vendors. As a result, payers can access the data necessary to unlock administrative efficiencies, understand the breadth of member journeys, and improve care.
The CMS Interoperability and Patient Access final rule mandates that payers enable patients to access payer-hosted clinical and claims data upon a patient's request via third-party applications. Payers must also make provider directories publicly available for third-party applications. In 2022, those mandates will expand such that payers must exchange data with other payers at a patient's request. Further proposed are additional interoperability mandates focused on providing electronic access to prior authorization requests.
Redox connects payers to the data and applications needed to keep pace with a rapidly shifting healthcare and technology landscape.
Redox solves data interoperability for:
Electronic prior authorization Connect providers and payers to streamline the $30 billion existing prior authorization process to reduce administrative waste.
Closing Care Gaps Receive clinical information for your member population and send insights back to providers to ensure best practice guidelines are met and that all care team members are in sync.
Integrating digital health solutions Power data exchange between the growing ecosystem of third-party applications used in managing patient populations and individual patient health.
Direct Scheduling Build superior member experiences by enabling real-time scheduling with any provider in your network.
"Large payers already know that Redox has the most extensive network in the healthcare data interoperability space, and they are using Redox's platform as a strategic advantage, Although the mandates aren't yet urgent, payers are moving quickly to adopt them because those payers are already benefiting from its efficiencies."
- Garrett Rhodes, Product Manager for Payers at Redox.
Redox accelerates the development and distribution of healthcare software solutions with a full-service integration platform to securely and efficiently exchange healthcare data. With just one connection, data can be transmitted across a growing network of 1,700+ healthcare delivery organizations and 300 independent software vendors. Members of the Redox Network exchange more than 20 million patient records per day, leveraging a single data standard compatible with more than 85 electronic health record systems. Redox exists to make healthcare data useful and every patient's experience a little bit better.
FCCI Insurance Group | June 20, 2020
P&C insurer FCCI Insurance Group is expanding its commercial insurance business into the state of Pennsylvania, where it will begin writing insurance starting September 01, 2020. Prior to expanding its commercial insurance business in the state, FCCI had been providing Pennsylvania with commercial and contract surety since 2015. The business expansion brings the total number of states in which FCCI operates to 20, as well as the District of Columbia. FCCI began accepting new business submissions from appointed agents in the state on June 15, 2020.