Product
CMS Patient Access Rule for Health Plans
Integrated FHIR® Platform as a Service
Data Transformation
- Claims, encounters, etc. > FHIR® R4
- Provider directory integration
- Support for X12, CCDA, and other interfaces
1st place in ONC Health Data Provenance |
FHIR® API Server
- Cloud-based, auto updates, serverless
- HIPAA compliant, SOC-II Audited
- Supports FHIR® R4
- Automated testing built-in
1st place in HHS Secure FHIR® Server Showdown |
3rd-Party Access Mgmt
- Developer API token management
- Developer console
- Audit-log and API metrics
- Member consent management app
Award for HSS Consumer Health Data Aggregator |
Dev + Member Support
- Developer & member support (email & phone)
- 3rd-party app policy & security reviews
- FAQs / API Documentation
Winner in HHS Privacy Policy Snapshot |
Platform Capabilities
- Clinical Data Network - access patient data across 10K+ facilities
- FHIR® Subscription alert notifications
- FHIR® SQL analytics & bulk export
Winner in HHS $1M FHIR® Bulk Data LEAP Grant |
Compliant, Secure, Easy
Meet all CMS Mandates
| ✔ | Patient Access APIs | ||
| ✔ | Public Provider Directory API | ||
| ✔ | Payer to Payer Data Exchange |
Demonstrated Security
| ✔ | 1st place in ONC’s Secure FHIR® Server Challenge | ||
| ✔ | HIPAA Compliant | ||
| ✔ | SOC 2 Audited |
Go live on time with ease
| ✔ | Solution is already built, in production | ||
| ✔ | No additional integrations needed | ||
| ✔ | Quick 9 week implementation | ||
| ✔ | Fully, managed cloud deployment | ||
| ✔ | Simple pricing (per member per year) without license fees |
1up leads FHIR® interop
| ✔ | 1up is literally setting the standard with HL7 | ||
| ✔ | Built the CARIN FHIR® App Gallery | ||
| ✔ | Built the Bulk Data Analytics Reference | ||
| ✔ | Founding members of FHIR® Business Alliance |
You'd be crazy to work with other vendors
| Only 1up is in production for all CMS requirements | |||
| Only 1up has a patient app network | |||
| Only 1up has 1000s of direct FHIR® connections to health systems | |||
| Only 1up received numerous FHIR® awards from the US Government |
Solution
1upHealth solution for CMS Patient Access Final Rule through our FHIR® platform
1upHealth is well positioned to support health plans in meeting the CMS Patient Access requirements for the July 2021 deadline. We have direct experience through our work with health plans and the Da Vinci Project, as well as our work with hundreds of health systems in meeting Meaningful Use 3 (MU3) requirements. We’ve now connected to over 10,000 hospital and allowing patients to authorize access to their EHR medical records with 3rd party applications. And our integrated FHIR® platform and solutions have won numerous industry recognition and awards.
Health plans have flexibility and options with our modular platform and services, including:
Data transformation > FHIR
1up has pre-built FHIR® data adapters including those based on the CARIN Alliance Payer FHIR® Profile which offers consensus-based mappings of claims data to FHIR. We can help you transform your existing clinical and claims information (X12 EDI, proprietary formats, etc.) to FHIR® Release 4.0.1 (R4), including support for the required discrete data elements (called FHIR® resources) such as ExplanationOfBenefit (claims), Coverage, Patient (demographic information), Encounters, etc.
FHIR® Server
Once your data has been normalized to FHIR, we store it on our HIPAA and SOC 2-compliant FHIR® server. This enables interactions with your data on a fully managed, cloud hosted, instantly scaleable FHIR® server. All clinical and claims data types (resources) are supported for FHIR® R4 to meet the CMS mandate.
As we surveyed available options for FHIR® servers we did not find them to be performant for over 100,000 patients. This, coupled with the fact that we don’t believe the future will be deploying FHIR® servers on machines on premises, led us to create our own cloud-based FHIR® Server. More information on our FHIR® server is available here.
3rd Party Access Management
Manage user permissions Manage 3rd party application permissions to enable your members to share and access their data. Our developer-facing console manages API keys, OAuth tokens, application client id & secrets. This keeps data secure, and limits access to only explicitly approved applications. Patients can authorize applications and consent to share their claims data with 3rd party apps. 1up manages the API access, refresh tokens, and OAuth2 interfaces. We can also handle the 3rd party application attestation (an option allowed and recommended by CMS).
Member Consent Management
Allow your members to easily access and share their data with 3rd party applications. We can support the member-facing consent management processes required by the CMS mandate including consent declaration and tracking. Health plan option to have 1up co-develop a white-labeled application with your own branding and existing authentication processes for your members to authorize data sharing with approved 3rd party applications.
Developer + Member Support
Provide 3rd party developers and members with quality documentation and support. We can help you develop clear, concise, developer-friendly API documentation as well as member-facing documentation on privacy and complaints in line with the CMS requirements. Additionally, we can offer 24/7 support including standard ticketing processes, issue resolution, etc.
Why 1upHealth
1upHealth is the leader in FHIR platform & interoperability
Connected to 1000s of health care providers and payers, with 100s of apps and health systems using our FHIR platform, 1upHealth is the clear network and product leader in the industry.
Direct Payer Experience
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.
We are FHIR® Experts
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
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