Member Experience and CMS Interoperability Rules compliance for a leading Health Plan

Member Experience and CMS Interoperability Rules compliance for a leading Health Plan

  • Posted by: Michael Guillory
Member Experience and CMS Interoperability Rules compliance for a leading Health Plan
Member Experience and CMS Interoperability Rules compliance for a leading Health Plan

A major non-profit regional health system was challenged with multiple disparate applications that increased the customer response time leading to poor member experience.

At the same time, the CMS mandated HL7-FHIR interoperability APIs, for faster patient access to data.

Sage IT developed a solution that was principally distributed into two individual projects covering:

Member Experience and CMS Interoperability Rules compliance for a leading Health Plan

Project 1 – Middleware needed to complete Salesforce implementation for a full customer 360 experience.

Project 2 – Compliance with CMS Interoperability Rule.

Learn how Sage IT helped the health plan

  • Improve member experience by servicing customers inquiries in real-time down from 2-3 days
  • Comply with CMS rules for Healthcare interoperability. (HL7 FHIR & USCDI standards)

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Author: Michael Guillory
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