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
The Innovaccer Health Cloud for
Interoperability and CMS compliance
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.
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.
Integrated data
Standards-compliant data formats
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.
Privacy and security considerations fulfilled
HIPAA and ISO compliant
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.
Fully managed, developer ready portal
Certified third party applications
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.
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.
Streamlined member authentication
Improved consent management
Shared data with certified apps
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