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Simplify data exchange and
compliance needs

Become compliant with CMS Interoperability and Patient Access Final Rule and
beyond, ensure payer data connectivity, build FHIR APIs, unlock third-party
application workflows, and drive member authentication and consent management.
Blackbook #1 in Interoperability and Data Integration

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America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud
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The Innovaccer Health Cloud for
Interoperability and CMS compliance
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Payer data connectivity
Integrate the source systems and data warehouses containing
required data, and map required data elements to the mandated
FHIR-based schema for continuous data feeds to the FHIR server.
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Identify Source Systems and Data Warehouses
Identify sources containing validated, high-quality data (e.g., adjudicated claims, capitated encounter, and clinical data) to be exposed via APIs to comply with the CMS Interoperability rule.
Connect to Data Sources
Rapidly connect with identified data sources, using intuitive interfaces to ingest data on a fixed sync frequency after claims adjudication and receipt timing requirements.
Map Data to FHIR-based Schemas
Map the relevant data elements to FHIR profiles and resources (considering all formats required for historical data), and load to target on a recurring schedule.
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Integrated data
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Standards-compliant
data formats
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Adherence to CMS data
exchange protocols

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FHIR server and API gateway
Launch a payer admin portal to manage FHIR APIs, third-party
application workflows, and member consent, and deploy access
control list (ACL), member authentication, and API security
processes.
Build FHIR APIs
With CMS compliant APIs, expose required data to the right member at the right time. Support member authentication and full-spectrum API security.
Actively Manage Member Consent
Increase transparency and modify member consents received through applications as needed.
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Privacy and security
considerations fulfilled
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HIPAA and ISO
compliant
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Streamlined member
consent management

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Manage third-party application workflows
Provide developer portal access to support app development,
registration, and certification. Manage consent and privacy and
security measures.
Support App Development
Provide developer portal access to support app development (e.g., FHIR resources) and facilitate member consent process with special provisions.
Register and Certify Apps
Register and certify apps to protect both your plan and your members with appropriate privacy and security measures.
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Fully managed, developer
ready portal
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Certified third party
applications
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Information access to
members

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Implement member workflows
Securely authenticate members with a streamlined member consent
processes, and display relevant information to help them take
control of their healthcare journeys.
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Run Authentication Processes
Leverage existing payer account logins to ensure that only the member (or their designee) can access personal data and authenticate their account.
Enable Members to Make Consent Decisions
Educate members on data access and risk to enable them to make app-specific consent decisions that can be withdrawn or changed at any time. Provide your members with direct access to their claims and encounter information.
Allow Third-Party Apps to Access Data
Enable members to proactively manage their active third party app connections and consent to share their data with them. Upon receiving member consent, allow third party apps, primarily those that have been certified, to access the data.
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Streamlined member
authentication
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Improved consent
management
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Shared data with
certified apps

USEFUL RESOURCES

What's new in healthcare

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Blog
3 Ways to Provide Better Care in Managed Medicaid Contracts
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Research Paper
How Data Platforms Transform Healthcare for Tomorrow
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Webinar
The Impact of Digital Transformation on the Payer Industry

Activate your vision for a healthier world

Join other healthcare leaders in building the future of
health on the Innovaccer Health Cloud.