1up FHIR Platform
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1up AnalyzeFHIR & The Art of the Possible
In this video series, 1upHealth’s Nolan Kelly and Kevin Yamashita explore what’s possible with FHIR, including real-world scenarios from across our base of 80+ enterprise organizations.
Episode 1
In this first episode, Nolan and Kevin:
- Introduce the 1upHealth Customer Enablement team and their focus on helping our customers derive business value from their technology investment.
- Define computable interoperability and the accuracy, completeness, and timeliness of FHIR “data on demand”.
- Discuss the evolving compliance landscape and the “forcing function” of this next wave of CMS regulations as an opportunity to innovate and leapfrog competition.
- Share examples of strategic thinking and data-driven decision making, including a midsize health plan’s focus on ACO relationships and value-based care, as well as a state Medicaid agency’s approach to enhancing care delivery for a significant portion of their population.
Episode 2
In this second episode, Nolan and Kevin discuss how FHIR and the recent CMS interoperability regulations are impacting the industry, including:
- Changes to the way provider and payer organizations operate.
- Increases in the number and type of data trading partners in the healthcare space.
- Improvements to data quality, timeliness, and completeness (like longitudinal patient records).
Episode 3
In this third episode, Nolan and Kevin discuss macro trends impacting the industry and making the Art of the Necessary, well, necessary, including:
- The impact of increased utilization on Medicare Advantage (MA) plans
- The recent 2024 Medicare Advantage and Part D Rate announcement and what it signals to the industry.
- The large number of providers dropping or considering dropping MA plans.
- The burden of high deductibles and cost sharing on insured consumers, leading to postponed care and medication rationing.
