Benchmark: Interoperability and Electronic Prior Authorization Requirements for Medicare, Medicaid, and QHPs

Take this benchmark to assess how much you would benefit from taking the course on Proposed Rule for Improving Electronic Exchange of Health Care Data. In a few minutes, you’ll gauge your grasp of why the rule exists, who it impacts, and what operational trade-offs it creates.

What you’ll get

• A quick read on your readiness for changes to prior authorization, interoperability standards (HL7 FHIR), and reporting requirements.
• Insight into the why behind the rule: reducing administrative burden, improving access and transparency, and supporting real-time data exchange.
• Signals on where to focus: APIs to prioritize, metrics that matter, communication obligations (denial reasons, timeframes), HIPAA standard updates, and equity considerations.
• Clarity on organizational impacts across people, process, and technology, so you can plan upgrades, vendor alignment, and governance with confidence.

These are not recall questions. They probe your understanding of intent, impact, and trade-offs (speed vs. safety, standardization vs. flexibility, transparency vs. privacy). Use the results to decide whether this course is a must-have now or a good next step as your program evolves.