Keeping up with health data exchange regulations on your own isn’t easy.
Meeting constantly changing government regulations around healthcare data exchange is complicated. You need a partner who stays up-to-date with regulatory requirements, advises on best practices, and delivers an API-enabled, FHIR®-native solution that scales and evolves over time.
Meet CMS regulatory rules and state-specific requirements
1up Comply enables payers to meet regulatory requirements for health data exchange and powers your data analytics. Make the move to a partner that’s helping 75+ healthcare organizations comply with existing regulations, while also achieving ROI from interoperability investments.
Beyond today’s regulations, we’re getting ready for what comes next, including Prior Authorization and Provider Access API.
1upHealth APIs powering data exchange compliance
FHIR API that enables active members of CMS-regulated health plans to share claims, encounter, clinical, and formulary data with third-party applications of their choice.
Public FHIR API that exposes directories of in-network providers, organizations, and pharmacies of CMS-regulated health plans with third-party applications.
Public FHIR API that makes Formularies and Preferred Drug Lists available to third-party applications.
A configurable front-end solution that allows active members of CMS-regulated health plans to authorize the transfer of their clinical data from their former plan(s) to their current plan in the FHIR format.
Deep Expertise in Regulatory
1upHealth’s regulatory strategy is informed by our Chief Strategy Officer Don Rucker, MD who literally wrote the book on healthcare interoperability. Prior to joining 1upHealth, Don served as the National Coordinator for Health IT at the US Department of Health and Human Services (HHS), where he led the development and issuance of the ONC’s 21st Century Cures Act Final Rule, which supports patient access and interoperability of health data. He brings this deep expertise to 1upHealth, directing product strategy and working directly with our clients to help them achieve their goals.