Search to learn about InterSystems products and solutions, career opportunities, and more. Results include content from our developer community, product documentation and education websites in addition to InterSystems.com.

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.
HealthShare Provider Directory
Watch this quick video to learn how HealthShare Provider Directory provides a single source of truth for clean provider information. Visit our website to learn how HealthShare Provider Directory can streamline provider identity management and help ensure accurate billing to meet CMS regulations.
May 12, 2022
doctor with stethoscope
HealthShare Provider Directory
Provider Directories: Solving for the No Surprises Act - The No Surprises Act included new requirements regarding provider directories, with rulemaking expected later this year to operationalize these statutory provisions
May 06, 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 06, 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 06, 2022
Icons of Eye, Chart, Magnify Glass
EHR Data
Clinical trial recruitment is challenging. 70% of trials miss their timelines due to lackluster patient enrollment, and 11% of research sites fail to register a single participant. For life sciences organizations, these numbers illustrate the risk to innovation, patient care, and the bottom line. How can you minimize that risk? By harnessing electronic health record (EHR) data to advance real-time and real-world data.
May 06, 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 06, 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.
Healthcare Analytics
Just like a drummer delivers power to the band, your data should also give power your decision-makers and caregivers. With Healthcare Analytics, you can drive and empower your entire healthcare organization to deliver better care and outcomes for the populations you serve through healthy, organized data.

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.