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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

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.
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.
A private hospital group in the Middle East is bringing the hospital to patients at home. The care team uses in-home devices to monitor patients and a phone app to deliver device and patient-generated data to its EMR. The physicians and nurses making virtual house calls have all the information they need, using familiar software, for optimal, personalized care.
An Economist Impact Webinar
Mental health experts and industry leaders to discuss the role of AI and digital technology in curbing the mental health crisis. How can patient-centric therapies be designed for better outcomes? How can regulators and educators contribute to digitising mental health care?
The health and social care data of around 3.2 million citizens across the West Midlands has been integrated into a unified care record to improve care, making it safer and more effective.
InterSystems HealthShare Health Connect Cloud will be used to boost interoperability and integrate care across the region to help deliver on the NHS Long Term Plan
Real-time Health Information Transfer
Powered by InterSystems HealthShare and InterSystems IRIS for Health, poolprax has created an electronic patient record to streamline the treatment and care for patients with diabetes. The electronic transfer of data lets patients upload and access their blood glucose readings at any time, from anywhere. This also enables clinicians to access these measurements in real time to make informed decisions for better patient outcomes.
Presented at HIMSS22
Dr. Lyndsey Burton from AWS and our Kathleen Aller discuss the challenges and opportunities around the transfer and use of data for new innovations in healthcare. They touch upon how storing and sharing secure, real-time information in the Cloud can support and advance healthcare, security issues presented by new applications gathering data, future trends with data and the Cloud, and more.
Healthcare Tech Outlook Spotlight
InterSystems unifies disparate telehealth data, empowering telehealth providers with the data management capabilities needed for digital health workflows. That’s why Healthcare Tech Outlook featured InterSystems on the cover of the recent Telemedicine Services edition of its magazine — and a premier spot in its ranking of the top 10 telemedicine services companies of 2022.

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