Innovaccer’s CMS Compliance Solution

For years, healthcare has operated in silos. The CMS Interoperability and Patient Access Final Rule will unleash the benefits of data transparency across the healthcare value chain.

Blackbook #1 in Interoperability and Data Integration

Gartner Leader Data Enrichment Hub

CMS 9115-F Compliance Mandates for Payers

Patient access API

January 1, 2021*

Provider directory API

January 1, 2021*

Payer-to-payer data exchange

January 1, 2022

Federal-state data exchanges

April 1, 2022

*With CMS enforcement to start July 1, 2021

Meet regulatory requirements with Innovaccer's CMS compliance solution

Ensure payer data connectivity, stand up FHIR APIs with robust security and administrative processes, unlock third party application workflows, and drive member authentication and consent management with Innovaccer's CMS Compliance Solution.

Essential Key Components

The CMS Compliance Solution is powered by four key components that support
the implementation of the mandates.

Payer data connectivity

Integrate with payer source systems and/or data warehouses, and map required data to FHIR-based schema

FHIR server and API gateway

Stand up FHIR APIs with supporting access control list (ACL) and security protocols in place, along with payer admin interface capabilities

Third-party application workflows

Experience the diversity with the most comprehensive healthcare data activation platform that supports a large network of FHIR® connections.

Member workflows

Enable members to easily access and share their data, with appropriate authentication and consent management in place

The Innovaccer Advantage

Achieve interoperability goals beyond foundational compliance needs and get
greater access to healthcare data.

More than just the APIs

Modular, end-to-end solution including member authentication, consent management, and third party app certification workflows

Fully managed, developer ready

Developer portal and third-party app certification process in support of scalable information access

Data integration expertise

Connection with source systems and enterprise data warehouses for claims and clinical data

Enterprise security

PHI/PII security for access control, and HIPAA, ISO compliance with payer admin portal for direct management

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