Next Generation Interoperability standard – FHIR

Interoperability remains one of health care's greatest challenges as well as one of its greatest opportunities. Over the past few years, Interoperability in Healthcare is gaining momentum and there is a continuous push for seamless data exchange between Payers to Providers & vice versa. FHIR adoption will help accelerate customer satisfaction, provider intimacy and digital engagement, thus streamlining the continuum of care across the healthcare ecosystem

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Regulatory Compliance: CMSs Proposed Interoperability Rule

  • Exchanging Patient Health Data using easily accessible FHIR APIs
  • Sharing Member Historic Data (per USCDI) for improved care coordination
  • Enabling Provider Directory Information on Open FHIR based APIs

Healthcare Consumerism

  • Poor consumer satisfaction due to unavailability of data & different modes of engagement
  • Growth of mobile & cloud-based apps
  • Need for faster integration and real-time digital engagement to steer members towards low-cost preventive health services

Transition to Value-Based Care Contracts

  • Creating digital experience for members providing 360-degree view for value-based reimbursements 
  • Need for exchanging structured or unstructured data using FHIR to derive value-based outcomes

High Administrative Cost 

  • Administrative overheads due to multiple parsers and technology platforms for multiple standards like – HL7, XML, CCDA etc. which obstruct smooth interoperability
  • High cost of installation, maintenance and licensing of third-party applications