FHIR Platform for

Payers


    






Bi-directional access to clinical data to improve quality, reduce costs, and enhance members’ overall experience.





Supported Payer Use Cases





CMS Patient Access Rule Compliance

Implement, test, and monitor HL7 FHIR APIs to make data available to patients and their authorized applications in compliance with CMS regulations via CARIN Alliance Payer FHIR Profiles

Payer - Provider Data Exchange

Integrate directly with health systems across all top EHRs to receive data from a single FHIR endpoint for your entire member population (e.g., for Risk Adjustment, Quality Reporting, etc.)

Access Patient Mediated Data

Integrate your apps with 10K+ hospitals and health centers already connected to 1upHealth for patient mediated access to clinical data for your members in minutes using Patient Connect

PopHealth Analytics

Access aggregated data from providers for entire member population on our FHIR Bulk Data platform to enable population health analytics using ANSI SQL queries, bulk FHIR APIs, or existing analytics tools

In-EHR Workflow Integration

Leverage our EHR-agnostic SMART on FHIR application to integrate directly into provider workflows (e.g., for gaps in care, prior authorization workflows, etc.)

Subscriptions

Create alerts or subscriptions for any search query and trigger workflows or get data pushed to your servers when certain criteria are met (e.g., when a member is Admitted/Discharged/Transferred)







Our Products for Payers





Bi-directional EHR Integration

Integrate directly with health systems across all top EHRs to receive data from a single FHIR endpoint for your entire member population

Patient Connect

Integrate your apps with 10K+ hospitals and health centers for patient mediated access to clinical data for your members in minutes using Patient Connect

PopHealth Analytics

Access aggregated data from providers for entire member population on our FHIR Bulk Data platform to enable population health analytics using ANSI SQL queries, bulk FHIR APIs, or existing analytics tools

Provider Application

Leverage our EHR-agnostic SMART on FHIR application to integrate directly into provider workflows (e.g., for gaps in care, prior authorization workflows, etc.)







Why 1upHealth


Built on FHIR

Our award-winning HIPAA compliant platform has been built on FHIR from the ground-up. We take data and normalize to canonical FHIR format available via RESTful APIs. Build for the future with us

Access to 10K+ Hospitals & Health Centers

1upHealth provides a common RESTful API across 10K+ hospitals and health centers (our network) for patient-mediated access to 250M patients. To see where we’ve already connected click here.

Free Sandbox

Reference our Quick Start Guide on how to get free API keys and connect to our network of health systems in less than 30 minutes for patient mediated access to medical records

Stay Ahead of Evolving Standards & Regulations

We are setting the standards for FHIR Bulk Data, and are working directly with HL7, CMS and ONC to set regulations. To learn more about our thoughts on how the industry is evolving, check out our latest blog posts.