• 02/23/2022

Policy mandate on Interoperability, Data Access, HIE

Policy Mandate

The ONC Interoperability and Information Blocking Final Regulation focus on enforcing aspects of the 21st Century Cures Act (interoperability, data access, and exchange/electronic health information (EHI)) and addresses the consequences of information blocking.

High-level timeline on compliance with the ONC’s Cures Act Final Rule

These rules impact patients, clinicians/providers, payers, ACOs/DCEs, vendors, developers - everybody in a healthcare ecosystem




Further Details on the Ruling!

There are three main pieces to the Interoperability and Patient Access ruling:

Patient Access API (Required July 1, 2021) – CMS-regulated payers are required to implement and maintain a secure, standards-based API that allows patients to easily access their claims and encounter information, including cost, as well as a defined subset of their clinical information through third-party applications of their choice.

Provider Directory API (Required July 1, 2021) – CMS-regulated payers are required by this portion of the rule to make provider directory information publicly available via a standards-based API. Through making this information available, third-party application developers will be able to create services that help patients find providers for specific care needs and clinicians find other providers for care coordination.

Payer-to-Payer Data Exchange (Required January 1, 2022) – CMS-regulated payers are required to exchange certain patient clinical data at the patient’s request with other payers.

Influencers and community projects to promote Interoperability

Da Vinci Project

Da Vinci stakeholders are industry leaders and health IT technical experts who are working together to accelerate the adoption of HL7 FHIR as the standard to support and integrate value-based care (VBC) data exchange across communities

Gravity Project

To create and maintain a consensus-building community to expand available SDOH (Social Detrimental of Health) core data for interoperability and accelerate standards-based information exchange by using HL7® FHIR®


CARIN is committed to working closely with government leaders to enable consumers and their authorized caregivers to access more of their digital health information with less friction

Argonaut Project

Private sector initiative to rapidly develop a first-generation FHIR-based API and Core Data Services specification to enable expanded information sharing for EHR and other HIT based on Internet standards and architectural patterns and styles.

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