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Gartner Research
Prepare for CMS Interoperability and Patient Access API Compliance for U.S. Healthcare Payers
Summary
CMS mandates that healthcare payers in government programs like Medicare Advantage and managed Medicaid share clinical and claims data with members and member-selected third parties. CIOs must evaluate FHIR API and repository solutions, as well as implement consent management to comply.
Published: 15 June 2020
ID: G00725481
Analyst(s): Mandi Bishop
Table Of Contents
Overview
Introduction
Analysis
Gartner Recommended Reading
Note 1: Regulatory Detail for Data Requirements per Plan Type
Note 2: Links to Relevant Specifications and Implementation Guides
Note 3: USCDI Version 1 Data Classes and Elements
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