The revised interoperability rules released by CMS are aimed at pushing healthcare industry stakeholders to share more data with each other and with patients.

New Policies as per CMS Final rules

  • Patient Access API
  • Provider Directory API
  • Payer-to-Payer Data Exchange
  • Dual Eligibility Reporting
  • Public Reporting and Information Blocking
  • Admission, discharge, transfer (ADT) event notification
  • Digital Contact Information

Sage IT, a TIBCO Elite Partner and Innovation Partner, has designed a unique solution for Payers to adhere to the evolving CMS Rules Provisions and enable Patient 360. Sage IT has worked with several Fortune1000 companies in providing focused, specialized and expertise-based services across the TIBCO products stack.

The TIBCO Connected Intelligence Platform leverages FHIR APIs to manage the records of patients, practitioners and payers in an organization which can be accessed through a unified platform built on top of the underlying APIs.

Sample Target State Architecture

360 healthcare

Features:

  • Compliant with all HIPAA and Hi-tech regulations including Audit Assurance
  • Integration with application end points in the Cloud and On-premises
  • Stable integration which is fully operational 24/7
  • Application and Interface Security on Cloud
  • Adaptable & Scalable to accommodate future solutions
  • API & Information management for data consistency & modeling across various applications
  • Superior cloud data quality to discover data issues
  • Cloud data management for a 360-degree view of data about key business entities from internal and external data sources
  • Change control and configuration management with operational ease of use easy
  • Easy to use interfaces that eliminate complex coding
  • Integrate any CRM/EHR and other critical applications
  • Orchestrate business processes for system to system interactions for Business Continuity management and operation resilience

If you are a payer or a health plan who is looking to implement a best of breed solution, customized and configured to your specific needs; deploy the solution in a timely and cost-effective manner; and ensure superior training to technical staff, please do write to us – marketing@sageitinc.com

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