An Optimized Platform to Help Meet the CMS Interoperability Mandate

The Smile CDR FHIR data platform works with TIBCO Connect solutions to help healthcare payer organizations transform existing clinical and claims data for storage using Fast Healthcare Interoperability Resources (FHIR). Healthcare organizations benefit from an innovative platform that provides API management capabilities to control access to stored call data record (CDR) data and visual analytics that deliver reporting capabilities against FHIR data.

Customer Challenge

The Centers for Medicare and Medicaid (CMS) mandates implementing secure, standards-based patient access APIs that allow members to access their healthcare information using HL7 FHIR 4.0.1. This requirement has made finding a compliant solution a major priority for payers.

Partner Solution

The Smile CDR FHIR data platform supports all FHIR versions and resources, and is perfectly suited to meet the CMS interoperability mandate. The platform leverages TIBCO Cloud Integration, TIBCO Cloud API Management, and visual analytics capabilities. The combined solution provides significant value to payer organizations striving to meet the Office of the National Coordinator for Health Information (ONC) mandate, which requires that patients can electronically access all of their electronic health information (EHI) at no cost.

Benefits

The Smile CDR FHIR data platform enables payer organizations to:

  • Accelerate implementation and reduced time-to-market
  • Invest in a strategic solution to meet current and future CMS requirements while establishing an interoperability capacity for future innovation
  • Mitigate risk, with enhanced security and privacy features that can help meet Health Information Portability and Accountability Act compliance (HIPAA).

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Smile CDR was recognized by Gartner1 as a Representative FHIR vendor, offering solutions tailored to achieve compliance with the CMS rule. According to IDC analysis ad buyer perception, Smile CDR is positioned in the Leadership category in the 2020-2021 IDC MarketScape for customer 360-degree platforms for payers software in the U.S. market2..

Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose..

1Gartner, Prepare for CMS Interoperability and Patient Access API Compliance for U.S. Healthcare Payers, Mandi Bishop, 15 June 2020

2IDC MarketScape: U.S. Customer-360 Data Platforms for Payers 2020–2021 Vendor Assessment, Jeff Rivkin, December 2020, # US46997020

 

Technologies
Business Intelligence
Machine Learning
Master Data Management
Industries
Life Sciences
Region
North America
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