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Navigating Patient Cost Transparency Using HL7 FHIR: Insights from Industry Leaders

[fa icon="calendar'] Feb 20, 2026 9:21:14 AM / by Leslie Amorós posted in FHIR, HL7, HL7 community, Da Vinci, FHIR Accelerator, FHIR Community, PCT, FHIR adoption

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Upcoming Da Vinci Community Roundtable on February 25 at 4:00 pm ET

As the federal government signals stronger enforcement and clearer expectations for healthcare pricing transparency, the ability for patients to make informed decisions has become a cornerstone of modern care efforts. The HL7® Da Vinci Project Community Roundtable, taking place on February 25, 2026, from 4 – 5:30 p.m. ET, will bring together the pioneers who are turning these regulatory expectations into reality.

The January roundtable set the stage for 2026 by focusing on overall use case progress and adoption readiness. This February session, “Navigating Patient Cost Transparency Using HL7 FHIR: Insights from Industry Leaders,” zooms in on Patient Cost Transparency (PCT), moving from the "why" of transparency to the "how" of implementation. Attendees will hear directly from early adopters about how they are navigating the complexities of Good Faith Estimates (GFE) and building the infrastructure for a more patient-centric ecosystem.

The upcoming 90-minute session will focus on:

  • The Evolving Transparency Landscape: An overview of how recent federal actions and the No Surprises Act are driving an industry effort to increase transparency and empower patients.
  • Standardizing Good Faith Estimates: Insights into the HL7 FHIR-based approach to PCT and how it automates the exchange of cost data between providers and payers.
  • Real-World Pilot Progress: First-hand accounts from Aetna/CVS Health and Kyruus Health on how they are leveraging FHIR along with their existing infrastructure and previous work to streamline implementation of PCT, as well as lessons learned.
  • The Role of Innovative Apps: How standardized data enables accurate, real-time access to medical costs via consumer-facing applications prior to the delivery of care.
  • Collaboration Strategies: What organizations should keep in mind when working in an ecosystem-based solution, where it’s not just one group involved but a whole mix of partners that need to collaborate for success.
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Actionable Insights on Improving Burden Reduction, Payer Data Exchange, and Patient Cost Transparency

[fa icon="calendar'] Oct 17, 2025 12:54:05 PM / by Leslie Amorós posted in HL7, HL7 community, health IT policy, health IT, Payers, CMS, Da Vinci, payer data exchange, patient cost transparency, PDex, burden reduction, PCT, CMS-0057

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October Da Vinci Community Roundtable on October 22 from  4:00 – 5:30 p.m. ET

As healthcare organizations continue to operationalize CMS-0057 requirements, understanding how to align technology, workflows, and policy is more critical than ever. The HL7® Da Vinci Project Community Roundtable, taking place on October 22, 2025, from 4:00 – 5:30 p.m. ET, will bring together industry leaders to share practical, actionable insights on how Da Vinci Implementation Guides (IGs) are transforming interoperability and reducing administrative burden across the healthcare ecosystem.

This month’s session, “Actionable Insights on Improving Burden Reduction, Payer Data Exchange, and Patient Cost Transparency,” will highlight the real-world value of HL7 FHIR®-based standards in improving efficiency, streamlining workflows, and driving measurable progress in value-based care.

What You'll Learn

The last HL7 Da Vinci Community Roundtable explored how regulatory, technical, and business drivers are shaping the future of prior authorization reform, with a focus on implementation strategies and interoperability alignment. That session underscored a key message: collaboration across payers, providers, and vendors is essential for scaling FHIR adoption.

The upcoming October Roundtable builds on that foundation connecting the dots between Burden Reduction, Payer Data Exchange (PDex), and Patient Cost Transparency (PCT) by highlighting Da Vinci’s pilots to show how these efforts can deliver tangible impact. First-hand accounts from Providence and Multicare as well as an update on recent testing work will be featured.    

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HL7 Da Vinci Project Use Case Progress Aids Market Readiness

[fa icon="calendar'] Dec 20, 2023 9:31:58 AM / by Howard Anderson posted in FHIR, Da Vinci, value based care, DEQM, prior authorization, alerts/notifications, notifications, coverage requirements discovery, documentation templates and payer rules, FHIR Accelerator, FHIR Connectathon, patient cost transparency, PDex, FHIR Implementation Guides, burden reduction, CDex, member attribution, VBPR, Value-Based Performance Reporting, CRD, PCT, HRex, prior authorization support

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2023 Accomplishments Position Industry for Year Ahead

Substantial progress has been made this year on HL7 Da Vinci Project Implementation Guides (IGs), which describe how to use HL7’s Fast Healthcare Interoperability Resources (HL7 FHIR®) standard for exchanging data to support value-based healthcare and implementations of the guides.

Sizing Up Accomplishments

At the December Da Vinci Community Roundtable, Hans Buitendijk, Da Vinci Project Steering Committee Vice Chair, reviewed progress this year and offered an outlook for 2024.

We have a number of organizations across the spectrum that have adopted one or more of our [FHIR implementation] capabilities. … That's fantastic in the short number of years that this initiative started to look at what is necessary to make it happen,” Buitendijk said.

“We currently have about eight publishing updates that have been accomplished and quite a few ballot processes that are in flight and being planned for, and there is a good amount of commitment to making this happen. So, we really need to be proud of what we have achieved to date, and particularly in the last year.”

In the year ahead, alignment with emerging regulations, including the final CMS Interoperability Rule, will be a top priority, he pointed out.

Interoperability efforts must go beyond a general set of data to ensure adequate support for public health, research, quality measures and more, he added. “We are all going to impact the ability and the opportunity to share more data over time,” he said.

The key to advancing interoperability by leveraging FHIR, he stressed, is to involve many different parties and develop the same language where we have a minimum set of capabilities that everybody can support, and leaving room … to grow, to explore, to define new things.”

He also pointed out: “We must continuously raise the bar for what we can exchange and determine what is relevant across many different stakeholders that we should all do in the same way … because the data that we have covered so far is still only a part of the variety of data exchanges that are relevant and can benefit from improvements."

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