Each session will examine in-depth the implications of the rules, specific business considerations, and practical guidance on compliance and enforcement issues associated with implementation for health care providers, developers of certified health information technology, health plans, and other digital health companies.

This series will broadly be of interest to in-house legal teams, compliance officers, and c-suite executives at health care providers, health plans/payors, health care technology companies, and financial institutions investing in or lending to these entities.

CMS’s New Interoperability and Patient Access Requirements for Health Plans and Providers

This session will focus on CMS’ Interoperability and Patient Access Rule and practical implications for regulated health plans. As an example, plans will need to assess and update as needed their patient data and provider directory information exchange practices to ensure that patients have access to their data through an Application Programming Interface (API), that their provider directories are publicly available by way of an API, and that they can exchange patient data with other plans at a member’s request. Beyond technical implications, these requirements may warrant changes to existing contract forms, including participating provider agreements.