1up CMS-0057-F Suite, powered by the 1up Gateway
CMS-0057 Payer-to-Payer Data Exchange: Why API Compliance Is Not Enough
The CMS-0057 Payer-to-Payer Data Exchange API deadline is January 1, 2027. Technically speaking, most health plans affected by the rule are on track to comply with it. But here’s what nobody is saying loudly enough: having a compliant Payer-to-Payer Data Exchange API and actually exchanging member data are two completely different outcomes. The regulation only […]
CMS-0057 Compliance: Why FHIR APIs Are Not Enough
A 1UPHEALTH EBOOK CMS-0057 Compliance: Why FHIR APIs Are Not Enough How network strategy, provider relationships, and member workflows enable healthcare data exchange Download THE PROBLEM Achieving True Healthcare Data Exchange Building the APIs required by CMS-0057 is a technical challenge many payers and their vendors are on their way to solving ahead of the […]
Compliance Without the Rebuild
Description Many health plans have already invested in their own FHIR infrastructure and have no interest in replacing it. But CMS-0057-F compliance doesn’t end when the APIs go live. It’s where the harder work begins: onboarding external payers, providers, and third-party apps, building the network to exchange data with them, and managing regulatory workflows and […]
The Payer-to-Payer Gap: From CMS-0057 Compliance to Real Data Exchange
A 1UPHEALTH PLAYBOOK The Payer-to-Payer Gap: From CMS-0057 Compliance to Real Data Exchange The phone is built. Now, who are you calling? Learn why a CMS-0057-compliant payer-to-payer API and actually exchanging member data are two very different outcomes, and what it takes to close the gap. Download now THE PROBLEM A Compliant API Is the […]
CMS-0057 Audit Readiness Quick-Start Guide
A Quick-Start Guide Are you audit-ready for CMS-0057 enforcement? Payers that treat their API audit infrastructure as a strategic, future-proofed asset will be ready for CMS scrutiny today and well prepared for the reporting landscape to come. Download the guide THE PROBLEM Approaching the CMS-0057 Deadline As we approach the Jan. 1, 2027 final enforcement […]
What is a CMS-0057 Compliance Layer and Why You Might Need One
Readying your health plan for CMS-0057 compliance is a real technical and operational lift. Whether your team built the required FHIR infrastructure in-house or partnered with a vendor to get there, achieving compliance has been framed as the goal. The thing you were working toward. But there’s a question that doesn’t get asked enough at […]
1upHealth Announces 1up Gateway to Simplify CMS-0057-F Compliance for Health Plans
1upHealth, a leader in health data interoperability, today announced the 1up Gateway.
CMS Moving to API Provider Transparency
In a new byline for Health IT Answers, Dr. Donald Rucker, Chief Strategy Officer at 1upHealth, lays out exactly what the push toward API-based provider transparency means for Medicare Advantage plans.
Healthcare Interoperability Is a Team Sport: Why 1upHealth Doesn’t Want to Grow Alone
First in a quarterly blog series on partnership, ecosystems, and the future of healthcare interoperability There’s a version of the health tech story that goes like this: build a great product, win customers, scale, and repeat. It’s clean. It’s simple. And, in my experience, it misses something critical about how lasting change actually happens in […]