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CMS Interoperability Roadmap

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CMS Interoperability Roadmap

>> CMS Interoperability Roadmap

The Centers for Medicare and Medicaid Services (CMS) has been at the forefront of promoting data interoperability in the healthcare system. The efforts of CMS towards establishing data interoperability have been increasing since 2011 where it initiated ‘’Promoting Interoperability Programs’.

These included a general roadmap consisting of three stages, each defining rule that would help implement data interoperability policies. That has now become a part of the more extensive CMS interoperability roadmap.

The roadmap aims to provide better data transfer and healthcare solutions in an increasingly digitalizing industry.

What Is The Interoperability Roadmap?

The interoperability roadmap is an effort by the CMS in its Promoting Interoperability Programs that aims to align all healthcare vendors and service providers in the US by adopting CEHRT.

CEHRT stands for ‘Certified Electronic Health Records Technology,’ aiming to make data interoperability the future for American healthcare systems. The roadmap aimed to achieve the following landmarks on its way to promote data interoperability in the health sector.

  • By 2019 all healthcare service providers were to use EHR technology based on 2015 or updated standards to comply with the Promoting Interoperability Program.

  • In 2020, the use of open APIs would promote payers to trust health information networks by making them part of provider directories. Patients would also be able to access their information, and any providers not complying with the standards would be ruled out.

  • 2021 would see providers using electronic notifications to send each other updates, whereas patients and payers would also view their data and be looped in.

  • Finally, around April 2022, CMS aimed to provide more benefits and interoperability in the healthcare system. Yearly updates would be made to the payment systems with any new improvements or notifications.

Who Are The Main Actors That CMS Connects To?

The CMS road to interoperability aims to connect the providers, patients, and payers into better information and data exchange within the healthcare system. This roadmap, once implemented, will impact the healthcare experience of many in profound ways.

How It Affects Providers:

Providers can easily access the complete medical record of their data and any other providers they may have visited. They are given data in platforms that can easily support various kinds of files. The provider can contact other healthcare service providers that the patient is seeing and be notified of their medical updates. That helps them make more informed decisions and provide better care.

How It Affects Patients:

Patients benefit from this as they can keep track of their medical records. They are provided with a list of service providers to choose from and are alerted about those who use data blocking techniques. It gives them a chance to communicate better with their healthcare providers and understand their treatment more comprehensively.

How It Affects Payers:

A group of people who are often left out of the interoperability loops is the payers. Data transfer and easy access to information help payers understand expenses and have better coordination with the providers they are paying. That makes them more likely to cooperate and have better relationships with healthcare professionals that are based on mutual trust.

CMS Interoperability Progress

Currently, the CMS interoperability roadmap continues to grow and make milestone achievements. Many new technologies are being incorporated into the framework, and innovations are being made.

Slowly but surely, CMS is revolutionizing healthcare as we know it and taking it to the digital age. Data is now easily accessible and incorporating the need for interoperability in governmental policies helps make most healthcare comply with the evolving healthcare standards.


DevScripts Solutions is an IT Consultant Firm Specializing in Interoperability within the Healthcare Arena.

We are a small team solving big interoperability challenges on a daily basis. With our vast knowledge of interoperability we can integrate ourselves as part of your organization just like we are part of your full-time team. We develop a variety of custom interfaces for healthcare organizations such as Healthcare Vendors, HIEs, Health Systems, Hospitals, Medical Practices, Payors and ACOs using Mirth Connect.

We work with businesses in California, Georgia, New York, Florida, Texas and throughout the wider United States.

For more information on our services or to arrange a consultation call please contact us today.

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