The most significant proposal would require Medicaid, the Children's Health Insurance Program, Medicare Advantage plans, and qualified health plans in the health insurance exchanges to provide enrollees with immediate electronic access to medical claims and other health information electronically by 2020. To accommodate these requests for information, payers must adopt data-sharing technologies such as application programming interfaces (APIs) and demonstrate efforts to eliminate information blocking practices.
Following the publishing of the final rule, Ryan Howells, MHP, PMP, principal at Leavitt Partners, will discuss the new requirements and their implications for payers, particularly the implementation of new technology.
• Detail the interoperability requirements finalized by CMS for payers
• Understand the impact of changes for payers in the near-, mid-, and long-term
• Learn how the implementation of technology will enable payer compliance