According to WEDI’s 2025 “CMS Interoperability and Prior Authorization Final Rule Survey”, the majority of payer respondents had not yet started preparing for compliance with CMS-0057 API requirements. With the deadline looming, now is the time to act.
Your approach to Patient Access and Interoperability (CMS-9115) compliance will not suffice for Prior Authorization and Interoperability (CMS-0057), which is much more complex and far-reaching.
Now is the perfect time to rethink your interoperability strategy and the technology foundation required.
1upHealth is the market leader helping Medicare, Medicaid, and commercial payers easily acquire, manage, share, and analyze health data in real time and at scale, supporting not only their regulatory requirements but also helping them drive ROI from their interoperability investments.
Go beyond the batch and highly manual movement of data and turn health data into a continuous stream of actionable information that can be combined, analyzed, and used across systems in near real time.
Go beyond satisfying regulatory requirements to make interoperability a strategic advantage for improvements in areas like Star Ratings, quality management, risk adjustment, care management, and member and provider engagement.
The 1up Platform is the market's most advanced, FHIR-native HDMP. Purpose-built for healthcare on a next-generation data lakehouse architecture, our platform leverages industry-standard, open-source technologies for real-time exchange and analytics.
Building the future of healthcare is no small task. We believe that to solve tough problems, we need to be guided by our Core Values:
An industry-leading, standards-first, FHIR-native platform.
A dedication to compliance, with the most CMS FHIR APIs in the industry.
Deep industry experience, with a customer base of 80+ payers.
Dedicated account teams driving meaningful outcomes.
Fast implementations and 24/7/365 US-based support.
Ready to support you at every stage of your interoperability journey.
A powerful network of 7,500+ provider and 130+ payer endpoints.
Competitive pricing to earn your business.
FHIR® is the registered trademark of HL7 and is used with the permission of HL7