Enabling coordinated care by supporting Interoperability and Patient Access Final Rule
Conduent’s Healthcare Interoperability solutions enable better care coordination for providers, seamless information exchange for payers and improved health outcome for patients
With the release of the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access final rule on March 9, 2020, CMS-regulated payers are required to make health information more easily available to patients by leveraging APIs and Fast Healthcare Interoperability Resources (FHIR) technology. Interoperability in the healthcare ecosystem should provide more power to patients by allowing seamless and secured health information exchange, lower cost of care and improved outcomes.
Securely exchange patient’s claim, encounter and clinical data to the third party app. This ensures that the patient’s claims data from Jan 1, 2016 onward is available and new claims are available within one day of adjudication.
Supporting a standards based exchange
We provide a secure platform for members and 3rd party app developers to exchange patient claim data and enhance payers’ existing member-facing platforms with the mandated APIs.
Enabling rapid deployment
Conduent’ s pre built and easily configurable solution can be deployed in 10-12 weeks, ensuring payers meet the mandated CMS timelines.
Our solution is built on mandated industry standards leveraging HL7 FHIR® to implement key functions for security, interoperability of data exchange and data strategy. We continue to evolve our solution with the interoperability needs, requirements and standards of the market, helping clients add required capabilities according to their deployment goals and schedule.
Data transformation - FHIR® (claims, encounters, subset of clinical data)
3rd Party Access Management (OAuth 2.0)
Member consent management
Developer+ member support
We are dedicated to helping patients and healthcare professionals gain access to the information, resources and therapies needed to improve health outcomes. Our deep understanding of healthcare program operations, stakeholder needs, and supporting technology infrastructure — along with our deep domain expertise of regulatory policy — make us a low-risk and high-value partner.
As health plans and programs adapt to new mandates and tackle today’s most pressing challenges, Conduent is ready to support your journey — with the technology and solutions you need to achieve compliance, control costs and deliver a better healthcare experience for members.