Meets CMS regulatory requirements to provide member access to their health data using FHIR
Turnkey solution saves time and expense; improves member satisfaction
The CMS Interoperability and Patient Access Rule requires insurers that offer Medicare or Medicaid plans to implement and maintain a secure, FHIR Patient Access Application Programming Interface (API) that enables members to easily access:
The rule enables members to use third party apps on their smartphones –effectively letting them exercise the same control over their health data as they do over financial, retail, and other consumer transactions. For more on what the new regulations mean for health plans, read our analysis.
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See how Diameter Health technology meets CMS requirements and improves member satisfaction
Diameter Health’s FHIR Patient Access takes clinical, cost and encounter data and provisions it to members using the FHIR (Release 4) standard, with the required Smart on FHIR security protocols. For healthplans, it ensures compliance and reduces risk.
FHIR Patient Access is Built on the Fusion Refinery
The success of FHIR as an exchange format is dependent on the data being well structured. Because patient data is often incomplete, redundant, or inconsistently coded, its value for
patient access via FHIR can be limited. Information that is poorly formed in the source electronic health record will render incompletely as a FHIR resource.
More than just providing data in the correct FHIR format, Diameter Health normalizes and enriches raw clinical data so that information presented to the consumer is more complete. This fulfills the mandate while improving member satisfaction.
Meets CMS Interoperability Regulations
John D’Amore, President of Diameter Health, read all 1700 pages of the new regulations so you don’t need to. Here’s the summary in one minute and twenty-eight seconds
- Transforms widely available data types such as
C-CDA, HL7v2, so no waiting for FHIR support
- Meets CMS regulatory requirements for patient
- Provides outbound Support for CPCDS &
USCDI FHIR Resources
- Operational in a fraction of the time and cost of home-grown approaches
- Built on Fusion, Diameter Health’s automated clinical
data refinery, which generates high quality
Diameter Health content provides insights into using healthcare data to improve both quality of care and financial results. Our goal is to improve healthcare by making data accessible, easy to use, actionable, and readily integrated into existing workflows.