Coping With the Uncertain Future of Payer-to-Payer Data Exchange

Summary 

Better understand the challenge of complying with new payer-to-payer interoperability mandates, given the lack of specific technical guidance from CMS.

CMS requires payer-to-payer interoperability so people can take their healthcare histories wherever they go. Unfortunately, CMS hasn’t mandated a standard for data exchange. This uncertainty is problematic for payers who can’t afford to make technical implementation decisions today that they’ll only have to reverse down the road as standards emerge. In this Perspectives piece, interoperability expert Spencer Cross weighs payers’ alternatives in light of this uncertainty.

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