Search all InterSystems websites to find anything about our product, search our documentation, and more. Enter a query in the search input above, and results will be displayed as you type.

InterSystems HealthShare CMS Solution Pack

HealthShare CMS Solution Pack
A Robust Solution to the Interoperability and Patient Access Challenges of CMS Rule 9115
The InterSystems HealthShare CMS Solution Pack™ provides a simplified way to meet the final rule requirements for payers and providers, supporting the rule’s use cases for 2021 and 2022:

For Payers

  • Patient Access APIs – Giving patients access to their own claims, clinical, and pharmacy benefit information (2021)
  • Provider Directory API – Online provider and pharmacy directory access (2021)
  • Payer-to-Payer Data Exchange (2022)

For Providers

  • Admission, Discharge, and Transfer Event Notifications

Use cases for CMS Solutions Pack include:

  • Patient access APIs
  • Claims data mapping
  • Clinical data mapping
  • Pharmacy benefit data
  • Authorization and authentication
  • Identity management
  • Member consent management
  • Event notifications
  • Provider directory APIs

 

CMS Solution Pack also provides a path to address broader use cases using our full InterSystems HealthShare product suite. For payers, InterSystems HealthShare provides the data and analytics required to support use cases such as HEDIS reporting and Risk Adjustment. For providers, use cases include value-based care, population management, and COVID-19 dashboards.

CMS Solutions Pack currently is available for use by customers in the United States only.

Related Product Information

Oct 29, 2020
doctor patient relationship
Innovation with HealthShare
Healthcare as we know it is changing. Rapidly. Because we’re putting massive amounts of data to work to connect patients and providers like never before.
Nov 23, 2021
Hospital Doctor With Digital Tablet Talks To Male Patient
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.
May 25, 2022
Prior Authorization with FHIR HL7 Da Vinci
FHIR - HL7 Da Vinci
HL7’s Da Vinci project is using HL7 FHIR to better connect payers and providers and address prior authorization.
Unified Care Record
The Foundation for Collaborative Care, Innovation, and Transformation
May 25, 2022
A graphic displaying the patient and the care plan at the center of the care team members and proxies
Care Community
Managing Care in Distributed Healthcare Systems
Provider Directory
A Single Source of Truth for Provider Demographic and Professional Relationship Information
May 07, 2022
Geometric Shapes
Prior Authorizations
Prior authorization — the process by which health insurers determine whether they cover clinical services before someone receives them — has long been a burden for patients, providers, and payers.
May 07, 2022
Geometric Shapes
Provider Directory
The era of getting by with shoddy provider directories is over. As the industry shifts from prioritizing volume-based to value-based care, there’s a profound sense of urgency to cultivate clean, comprehensive provider data.
May 07, 2022
Grid/lattice/web of healthcare icons
Healthcare Analytics
Analytics ranks among the most powerful tools in healthcare’s COVID-19 pandemic toolkit. Without it, other resources — vaccines, personal protective equipment, and new treatments, for example — wouldn’t be as useful.
May 07, 2022
2 older doctors wearing masks looking at a tablet
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.

Take The Next Step

We’d love to talk. Fill in some details and we’ll be in touch.
*Required Fields
Highlighted fields are required
*Required Fields
Highlighted fields are required
** By selecting yes, you give consent to be contacted for news, updates and other marketing purposes related to existing and future InterSystems products and events. In addition, you consent to your business contact information being entered into our CRM solution that is hosted in the United States, but maintained consistent with applicable data protection laws.