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Explore a collection of our thoughts on the prior authorization process and access to quality care.

CMS-0057 Final Rule: Frequently Asked Questions (FAQs)

CMS-0057 Final Rule: Frequently Asked Questions (FAQs)

The CMS-0057 Final Rule introduces new regulations aimed at improving healthcare interoperability and prior authorization processes for payers and providers. Below is a comprehensive FAQ to help organizations understand the new requirements, compliance deadlines, and best practices.

Did someone Say HITRUST Certified?

Did someone Say HITRUST Certified?

Banjo Health achieved HITRUST Risk-based, 2-year (r2) certification for information security. The company's comprehensive approach to data security and privacy includes robust access controls, regular security audits, and continuous monitoring to detect and mitigate any potential risks.

Banjo Health's Composer: Revolutionizing Clinical Decision-Making

Banjo Health's Composer: Revolutionizing Clinical Decision-Making

To address the growing need for efficiency in the development of decision trees and question sets from clinical criteria, Banjo Health introduces Composer,

Spotlight on: Banjo Appeals & Grievances within the BanjoPA Platform

Spotlight on: Banjo Appeals & Grievances within the BanjoPA Platform

Banjo Health is leading the way with a robust solution to handle appeals and grievances through its comprehensive BanjoPA platform.

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Navigating Hawai‘i’s Prior Authorization Laws: What Payers and PBMs Need to Know

Hawai‘i may not have one sweeping statute governing prior authorization (PA) like some other states, but that doesn’t mean payers and PBMs are off the hook. Through a combination of administrative rules, Medicaid requirements, and commercial payer standards, the state has clearly defined expectations around timeliness, documentation, and provider communication.

Kansas Prior Authorization Laws for Payers and PBMs

For payers and PBMs, these evolving expectations require systems that are responsive, accurate, and audit-ready. Banjo Health delivers intelligent PA automation designed to help your organization comply with Kansas regulations—while improving operational performance and provider experience.

Navigating Iowa’s Prior Authorization Laws: A Compliance Guide for Payers and PBMs

Iowa has implemented specific regulations governing PA processes to enhance transparency, ensure timely access to care, and reduce administrative burdens. Banjo Health aligns with Iowa's PA regulations, ensuring compliance and operational efficiency.

Indiana Prior Authorization Laws: A Compliance Guide for Payers and PBMs

Indiana is actively reforming its prior authorization (PA) landscape. For payers and PBMs, adapting to these evolving requirements is crucial. Banjo Health offers an intelligent automation platform designed to align with Indiana's PA regulations, ensuring compliance and operational efficiency. Key Provisions of Indiana’s Prior Authorization Reforms

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