Massachusetts Health Data Consortium and ZeOmega Launch Statewide Initiative to Automate Prior Authorization

First-of-its-Kind FHIR^®-based Collaboration to Deliver Faster Approvals, Less Paperwork, and More Coordinated Care

PLANO, Texas, July 15, 2025 /PRNewswire/ -- ZeOmega^®, the leading population health and interoperability technology company, today announced it was selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data sharing, to transform prior authorization and clinical data exchange across Massachusetts. This initiative creates the nation's first statewide FHIR^®-based system designed to streamline communication between payers and providers, reducing administrative burdens and accelerating access to care.

As pressure mounts to reform a broken prior authorization model – long associated with inefficiency, treatment delays, and miscommunication – MHDC's collaboration with ZeOmega represents a proactive move to modernize and simplify this archaic framework. ZeOmega's HealthUnity platform will enable healthcare organizations to replace outdated manual tasks, like faxing and phone calls, with real-time, automated approvals – reducing payer-provider friction and driving faster, more coordinated care.

The deployment will be implemented through the New England Healthcare Exchange Network (NEHEN), MHDC's statewide network that connects major Massachusetts health plans and providers. HealthUnity will empower NEHEN participants to improve benefit checks, prior authorizations, clinical data exchange, and quality measurement – all through a single connection. By leveraging FHIR APIs and national data standards, the technology facilitates secure information sharing across the healthcare ecosystem.

Following a competitive vendor selection process, MHDC selected ZeOmega for its proven leadership in interoperability, deep experience in utilization and care management, and HealthUnity's FHIR-native architecture, built to support scalable, multi-organization collaboration. The platform supports multiple access points—including integration with widely used EHRs and provider portals—and supports compliance with federal requirements such as CMS's Interoperability and Prior Authorization Final Rule.

"MHDC is committed to building the digital infrastructure necessary for transforming how healthcare is delivered and experienced," said Denny Brennan, Executive Director and CEO of MHDC. "This groundbreaking initiative demonstrates how collaboration between payers and providers can eliminate friction and deliver tangible improvements in care delivery. Our partnership with ZeOmega equips us with the technology foundation we need to achieve that vision."

"We are proud to partner with MHDC in launching this modern and replicable model for collaborative healthcare," said Tony Sheng, ZeOmega's Vice President of Interoperability. "This initiative reflects years of investment in building flexible, standards-based technology, and it represents a major milestone for ZeOmega's HealthUnity platform. We're excited to see it deliver real improvements for providers, payers, and patients alike – and to serve as a blueprint for other states pursuing similar transformation."

ZeOmega's broader interoperability and automation solutions include advanced utilization management capabilities that combine AI, clinician expertise, optical character recognition, and clinical documentation mark-up. To learn more about ZeOmega's innovations in prior authorization and interoperability, visit www.zeomega.com.

About the Massachusetts Health Data Consortium (MHDC)
MHDC is a non-profit organization focused on improving healthcare quality, transparency, and efficiency through better access to and exchange of health data. Through collaborations and innovations like NEHEN, MHDC continues to lead the way in transforming healthcare information infrastructure across New England.

About ZeOmega
ZeOmega empowers health plans and other risk-bearing organizations with the industry's leading technology for simplifying population health management. Clients using ZeOmega's Jiva Healthcare Enterprise Management Platform experience superior workflow and proven results due to exceptional integration capabilities, unmatched clinical content, and a powerful rules engine. With deep domain expertise and a comprehensive understanding of population health challenges, ZeOmega serves as a true partner for clients with personalized deployment and delivery models. By consistently exceeding customer expectations and project benchmarks, ZeOmega has earned a reputation for being proactive, reliable, and dedicated to improving the health of its clients' members. ZeOmega was named Best in KLAS for Payer Care Management Solutions in 2022, 2023, 2024, and 2025. Founded in 2001, ZeOmega is privately held and headquartered in Plano, Texas.

ZeOmega and Jiva are registered trademarks or trademarks of ZeOmega, Inc. or its subsidiaries in the United States and other countries. Other marks or brands may be claimed as the property of others.

SOURCE ZeOmega