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What payers and providers need to know about the ONC and CMS information blocking rules

April 12, 2021
Business Affairs Insurance

The pandemic and its aftermath may look different for payers and providers, but the answers to their data sharing problems are very similar, and the need for sophisticated interoperability capabilities has never been more pressing.

Get ahead of compliance while meeting the challenges of today and tomorrow
Although the industry has long held onto the excuse that real interoperability is unachievable in the current environment, solutions are readily available to connect the disparate systems, regardless of data format and communication protocols used. High-performance interoperability is within reach, and the technology available today can enhance data sharing and optimization so that it is fast, accurate, flexible, scalable and secure.

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Implementing an advanced data integration layer – like the API managers and integration engines we mentioned previously – will help healthcare organizations handle the higher levels of data traffic expected as the new interoperability rules come into play, and ensure accurate, complete and timely data sharing across platforms.

Advanced integration tools are essential to addressing the challenges still ahead as healthcare leaders work through the current pandemic and attempt to prepare for the next crisis. At a higher level, the ability to aggregate accurate, comprehensive, normalized data from a wide range of sources is fundamental to pursuing the big data analytics initiatives that are at the heart of many payer, provider and public health initiatives.

Healthcare leaders must embrace interoperability as a long-term strategy – not just to meet the demands of compliance and pandemic response today, but to meet longer term challenges of consumer experience, increased market competition and a dynamic policy environment. When interoperability has traditionally been viewed as a long-term goal, organizations that delay will risk being unable to adapt to new demands and crises, and will not be able to proactively address emerging challenges.

It is not an exaggeration to say that the success of every major healthcare initiative for the foreseeable future rests on the quality of the data gathered and shared by the providers and payers of the healthcare industry. Responding to today’s challenges with the right technology will drive the future of healthcare.

About the author: Scott Galbari is the chief technology officer at Lyniate.

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