Established by the Interoperability Matters Leadership Council, the Payer-to-Payer FHIR® API Implementation Workgroup will explore existing obstacles inhibiting the payer community’s business and propose recommendations to improve interoperability amongst payers.
This checklist is designed to help payers assess their readiness for compliance with the payer-to-payer components of CMS-0057-F, a critical regulation for improving data sharing and interoperability in healthcare.
After form submission, the “Download the Checklist” button will display to then download the Excel document.
Leveraging the existing HL7® Da Vinci and CARIN technical and policy requirements (e.g., FHIR® Implementation Guides) that have direct impact on the payer community, this Workgroup will identify practical, implementation-level implications from a business and governance perspective. It will be cognizant of broader stakeholder needs and may eventually broaden its focus to other payer exchange partners but, initially, it will remain focused on operational aspects of payer-to-payer FHIR® API exchange and related activities.
To convene payer stakeholders to collectively work towards solving the shared challenge of implementing Payer-to-Payer FHIR® APIs and cultivating a Community of Practice (CoP) to enable efficiencies through shared learnings, resources, and best practices.
The Workgroup will begin with a landscape review to understand existing technical and policy requirements. The intent is to leverage and learn from payer stakeholders and enable efficiencies through shared learnings, resources and best practices.
Medica
Evernorth
1upHealth
Availity
Blue Cross Blue Shield Association
CVS Health
Highmark Health
Humana
Kaiser Permanente
Marble
Medica
Optum
Performant
Point-of-Care Partners
This workgroup provides a vital community of practice for those responsible for ensuring their organization’s readiness and compliance with federal regulations. There’s no need to do it alone when you can learn from industry experts, benefit from shared best practices, and work collectively to inform policy.
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Complete the form below to access the Payer-to-Payer FHIR® API Implementation Workgroup’s checklist resource.
