Addressing today’s toughest health data challenges, enabling tomorrow’s possibilities
At 1upHealth, we help our clients solve an endless array of health data-related challenges – from meeting CMS regulations to forward-looking opportunities that use data as a competitive advantage – with our 1up FHIR Platform and suite of products. We’ve included a few examples below. Contact us today to discuss your unique health data challenges.
1upHealth enables healthcare organizations to move all of their different data types – including CCDA, HL7v2, flat files, and more – into the 1up FHIR Platform for ingestion, mapping, and storage in the FHIR standard and then enables them to perform the data analysis needed to make decisions that power their business.
Who it's for
Payers
Providers/ACOs
Digital Health
What's included
EHR FHIR connectivity
Non-FHIR (CCDA, HL7v2, payer claims) and FHIR data ingestion
Map and store in FHIR environment
Managed service
Query and access data by easily integrating it into existing analytics systems – including SQL, Tableau, and PowerBI – and business workflows
1upHealth enables payers to meet CMS regulations around patient access to their clinical and claims history and move that data to a consumer app of their choice via our Patient Access API.
Additionally, payers can use 1upHealth to access patient-mediated data from providers or other payers, without the need for phoning, faxing, or “chart pulling”. 1upHealth enables a modern chart retrieval process by having the member approve the data to flow from provider-to-payer or payer-to-payer via industry standard APIs.
Who it's for
CMS-covered health plans with lines of business in Medicare Advantage, Medicaid, Children’s Health Insurance Programs (CHIP), and Qualified Health Plans (QHP)
Health plans in certain states, including the State of California, with Patient Access requirements for commercial coverage
Forward-looking payers interested in offering this service as a competitive advantage
What's included
Non-FHIR and FHIR data ingestion
OAuth2 for the member to authenticate and authorize data sharing
Patient Access API to expose the data when shared
Reporting of patient access events
App registration and management as part of app gallery
1upHealth provides a FHIR API that enables payers that are required to share information on in-network providers as part of the Patient Access Final Rule to do so using public-facing APIs.
Who it's for
CMS-covered health plans with lines of business in Medicare Advantage, Medicaid, Children’s Health Insurance Programs (CHIP), and Qualified Health Plans (QHP)
What's included
Non-FHIR data ingestion and conversion to FHIR
Provider Directory API to expose the data publicly (no authorization required)
Payers need to acquire historical data on their members from the members’ previous health plans and to share data on historical members with the members’ new health plans, also known as payer-to-payer data exchange.
As health plans acquire new members, it’s important for them to know as much as possible about their new members’ clinical and utilization histories. Leading health plans are using 1upHealth APIs to acquire data to use in risk adjustment, in-network vs. out-of-network history, care management, and other programs.
Who it's for
CMS-covered payers with lines of business in Medicare Advantage, Medicaid, Children’s Health Insurance Programs (CHIP), and Qualified Health Plans (QHP)
Payers in certain states, including the State of California, with Patient Access requirements for commercial coverage
Forward-looking payers interested in offering this service as a competitive advantage
What's included
Non-FHIR and FHIR data ingestion
Send API to move historical data to current plans in FHIR
OAuth2 for the member to authenticate and authorize data sharing
Patient matching
Optional bulk FHIR data export to export data from the FHIR server
We help healthcare organizations of all kinds extract population-level data from EHRs so they may perform a range of actions, such as run analytics, make coverage decisions, manage utilization, supplement data for HEDIS, complete value-based care contracting and reporting, and much more.
Who it's for
Payers
Providers
Life Sciences
Digital Health
What's included
Patient roster upload
Manages the connection to EHR endpoints
FHIR ingestion of EHR data
Ingestion of clinical data in non-FHIR formats (HL7, CCDA) and conversion to FHIR
Bulk FHIR data export if you choose to export your data from the FHIR server
1upHealth helps healthcare organizations of all kinds to enable their customers to move their clinical data anywhere. Patient-Mediated EHR Access makes getting the data over easier, reducing significant administrative burden.
Who it's for
Payers
Providers
Life Sciences
Digital Health
What's included
FHIR ingestion from EHR FHIR API
OAuth2 for the member to authenticate and authorize data sharing
Patient matching
Bulk FHIR data export if you choose to export your data from the FHIR server
Ready to Learn More About Healthcare’s Modern Data Platform?