CMS recently introduced new interoperability mandates for health plans that must be implemented by July 1, 2021. These include:
Patient Access Rule - FHIR® for members to share data with apps. (Past-due July 1, 2021)
Provider Directory API - FHIR® API for a provider directory (Past-due July 1, 2021)
Payer to Payer Data Exchange - Send and receive member data with other plans (Jan 2022)
Price Transparency for Payers - Machine-readable files for In-Network Negotiated Rates and Out-Of-Network Allowed Amounts (Files enforced 7/1/2022)
1upHealth provides a fully managed solution to cover all new mandates. Our customers, including plans with millions of members, are already in production with 1up’s HHS award-winning API platform. Today, 100s of apps use 1up FHIR® APIs to manage user directed connectivity across 1000s of health systems that we helped attest to similar patient access mandates. Plans can use the same infrastructure to meet all patient access and interop requirements.
1upHealth is the leader in FHIR platform & interoperability
1upHealth is well positioned to support health plans in meeting the CMS requirements for the July 2021 deadline.
We have direct experience through our work with as one of the first approved Blue Button 2.0 apps, with health plans supporting millions of health plan members and the Da Vinci Project through workgroups and connectathons.
Extensive Clinical Data Network
We've worked with 100s of health systems across the US in meeting Meaningful Use 3 (MU3) requirements. We’ve now connected to 10,000+ hospital and health centers, allowing patients to authorize access to their EHR medical records with 3rd party applications.
Our team is comprised of leading FHIR® experts who have presented alongside CMS and ONC leaders like Don Rucker, had led HL7 standard balloting, and participate in numerous FHIR® connectathons
Proven Platform for Regulation
Because our award-winning FHIR® solution is already in production, we can ensure timely deployment and meeting the requirements of the new rules.