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The Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare and Medicaid Services (CMS) each issued rules to empower patients and improve data exchange arrangements under the 21st Century Cures Act on March 9, 2020. The rule has some major implications for health insurers who offer Medicare
Advantage and Managed Medicaid plans.
New US government legislation is going to transform the way Payers manage and share their members' healthcare data. With an eye towards making it easier for patients to electronically access their own health information and accelerate the shift to Value-Based Healthcare models, upcoming rules will require Payers to make both claims and clinical data readily available. FHIR standard mandated in this CMS rule is being universally adopted by payers and provider sponsored plans for regulatory compliance & advanced interoperability practices. With RESTful architecture and a flexible structure for seamless data exchange, FHIR is leading the way to digital transformation.