The average U.S. healthcare payer is probably not ready to share five years’ worth of a member’s clinical data with a competitor on demand. Yet, that’s one of the key requirements in the two new complementary interoperability and access rules that the Centers for Medicare & Medicaid (CMS) and the Office of the National Health Coordinator (ONC) introduced this past February for payers and providers under the 21st Century Cures Act. The stated goal: To advance interoperability and make it easy and simple for healthcare consumers to access their own medical data.
While the rules are not yet final, they have the potential to fundamentally change the use of data and technology by all industry stakeholders. The rules will certainly have a nearly immediate, deep and wide impact on payer operations, IT planning and business strategy. Here are five key aspects of the rules that healthcare executives must quickly understand and address.