By July 2021, all Medicare Advantage, Medicaid, CHIP and ACA plans must provide a Patient Access application programming interface (API) and Provider Directory API, as mandated in the final CMS/ONC interoperability rule as part of the 21st Century Cures Act.
For health plans, there are many considerations when determining your API strategy:
With Inovalon Consumer Health Gateway™, an HL7 FHIR® v4.0.1 solution, you can provide your members the secure healthcare data access they need to easily comply with the new requirements. This consumer portal allows the FHIR®-based exchange of an individual patient’s claims and clinical data, securely and seamlessly with authorized third-party applications.
Inovalon Consumer Health Gateway™:
✔ Offers a secure, extensible infrastructure
✔ Provides real-time API responses
✔ Is CMS compliant (FHIR® 4.0, Oauth2, OpenID Connect, CPCDS, USCDI)
Unlike other solutions in the market, the Inovalon Consumer Health Gateway™ is backed by more than 20 years of experience managing the nation’s most comprehensive dataset, now including more than 63 billion medical events and 338 million unique patients. With deep expertise in clinical and claims data integration and FHIR®-enabled real-time clinical data exchange models and proven success delivering innovative, data-driven analytics and technologies, Inovalon delivers a streamlined solution that is easily integrated into the health plan workflow, enabling compliance with all three of the CMS data-sharing API mandates.
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Inovalon’s Cloud-Based Healthcare Data Lake provides a comprehensive data and analytics ecosystem complemented by extensive data connectivity and reach to more than 700,000 provider EHRs in partnership with Carequality expanded access into new data sources including CMS’ Blue Button 2.0, and supports FHIR®-based data exchange models (e.g., Da Vinci’s PDex and the CARIN Alliance CPCDS). Health plans can leverage Inovalon’s Data Lake to align and comply with the Interoperability Rule and July 1, 2021, API requirements.