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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

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Our traditional clinic and hospital-based model of healthcare is being disrupted by new market entrants leveraging digital health, disturbing long established ideas of care delivery and management, and generating new kinds of data at high volume. How do we manage and use that data to inform consumers, buyers, and market participants? How do we make sure it is accessible, usable, and shared effectively? How do we measure what is working, and what is not? In a conversational format, this panel from InterSystems and Amazon Web Services (AWS) will consider the role of cloud service providers, information sharing and analytics in the emergence of a consumer-led digital health ecosystem.

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