Health and Wellness Informatics News

CAQH directory lists the FIHR endpoints, 3rd party apps to help with CMS rule compliance

CAQH Endpoint Directory can help to enable more data sharing with the app developers, payers, and state Medicaid agencies with the help of Edifecs.

With new Centers for Medicare and Medicaid Services regulations are coming with impactful information. It is now sharing for the health plans which are going to be in effect from this year and next. The Council for Affordable Quality Healthcare is coming with the unveiling of the CAQH Endpoint Directory. It will help the payers with the CMS rule compliance.

The CAQH Endpoint Directory has the development with support from IT vendor Edifecs. It is a one-stop shop for the validated payers with the FHIR endpoints with third-party applications.

For building the CAQH convened, a workgroup of member health plans is going to gather feedback for their needs. Also, it is drawing various technologies and expertise with connections with other IT industry events.

The nonprofit is also working along with the FHIR at Scale Task Force which the Office of National Coordinator for Health Information Technology launched. It is collaborating with interoperability groups like HL7 Da Vinci Project and CARIN Alliance.

CAQH is partnering with EHNAC, which is the standards development group. It will soon provide incentives for the directory participants. It is aiming to help the “accredited to demonstrate their technical, privacy and security credentials to engage in an FHIR API ecosystem.”

According to CAQH, there are more than 300000 possible connections between health plans and third-party apps. The CAQH Endpoint Directory will be serving as a hub for helping payers and developers. It is going to indulge in identifying, verifying, and maintaining the connections to exchange information.

The future versions of the directory will also include the provider endpoints and new services. It enables more accurate data matching for managing the payer-to-payer data exchange. The CMS Final Rule requires the API-enables data sharing for the payers. It is having the requirements for some heavy lifting of many health plans. Also, it is going to help the CMS rules with the experience of the Da Vinci Project. It is exploring various ways to leverage FHIR to boost data sharing for value-based care.