CMS Interoperability Compliance Solutions

This document is a guide detailing the CMS Interoperability compliance solutions offered by Abacus Insights. It outlines the challenges health plans face in achieving CMS-0057-F compliance, emphasizing the need for significant investment in FHIR-ready data and operational knowledge of mandated API specifications. The guide presents a managed service model that allows organizations to optimize their internal IT resources while reducing costs and risks. It describes how Abacus Insights has successfully implemented interoperability solutions across more than 35 commercial plans and government agencies, transforming disconnected data into usable assets. The document also highlights the benefits of seamless data exchange and streamlined prior authorization processes, which foster better relationships with providers and enhance member outcomes. Additionally, it mentions the potential for significant cost savings, estimating that clients can save between $1 million and $3 million compared to in-house solutions. The guide concludes with an overview of the unique features of Abacus Insights' interoperability solution.