Payers can Capitalize on CMS Interoperability Rule

The CMS’s Interoperability and Patient Access rule, finalized in March, requires payers give members easy access to, and control over, their claims data. As payers face this looming deadline, they have a choice: comply with the basic requirement, or use the mandate as catalyst to modernize member engagement and improve their market advantage. On today’s show, Deanne Kasim, Bob Hoover, Ed Hafner, and German Scipioni discuss the CMS mandate and opportunities for payers to capitalize on it.

The Change Healthcare podcast panel:
Deanne Kasim, Executive Director of Health Policy
Bob Hoover, VP of Consulting
Ed Hafner, AVP of Payer Strategy Medical Network
German Scipioni, VP of Product Consumer Services

Here’s the path they took for today’s discussion:

  • Quick recap: Intent and requirements of the Rule
  • Assessing technical capabilities
  • Data governance requirements
  • What APIs must give payers and members
  • A strategy for achieving a new level of member engagement
  • Preparing for responses from informed patients
  • How to execute your strategy to meet the deadline
  • Models for interoperable member-facing solutions

Episode Resources

  1. Bob Hoover's bio
  2. Deanne Kasim's bio
  3. Ed Hafner's bio
  4. German Scipioni's bio
  5. CMS Interoperability and Patient Access Final Rule
  6. CMS Interoperability and Patient Access Fact Sheet
  7. Change Healthcare Offers Free Connected Consumer Health™ Interoperability Solution for Health Plans to Meet CMS Deadline
  8. Change Healthcare Consulting Services Resource Hub
  9. Change Healthcare Consulting Services
  10. COVID-19 Updates and Resources

Show Resources