HealthIT Answers February 4, 2022
Industry Expert

By Susan Bellile, Principal, Clinical, Availity

As we kick off 2022, one of the big questions surrounding interoperability is the status of the payer-to-payer data exchange rule. The requirement was part of the May 2020 Final Rule supporting the 21st Century Cures Act, and its enforcement was scheduled to start on January 1. However, in September CMS delayed enforcement pending future rulemaking.

The delay was understandable given the technical implementation challenges payers faced, but it was also disappointing considering the potential benefit to patients when they switch health plans. With payer-to-payer data exchange, patients won’t have to round up relevant historic records or make multiple phone calls to the new health plan to inform them about chronic conditions and prior...

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Topics: CMS, Cures Act, Govt Agencies, Health IT, HIE (Interoperability), Insurance, Payer, Provider, Technology
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