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What health plans can do today to prepare for the new patient access and interoperability rules

September 15, 2020
Business Affairs

For many payers, the ability to properly normalize and enrich data is likely to hold the key as to whether their efforts aimed at member data-sharing are met with success or failure. While payers may be able to meet the CMS requirement of delivering member data if the data isn’t usable or worse – if it’s incorrect – the result could be reduced member satisfaction scores and HEDIS scores. Nonetheless, the federal government’s efforts to improve patients’ access to their own health information are long overdue and well worth the effort. Payers that get moving quickly on plans to obtain compliance with these measures are likely to be rewarded with greater member satisfaction and loyalty.

About the author: John D’Amore is the president and co-founder of Diameter Health, a clinical data optimization company focused on improving the quality and quantity of actionable health data.

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