Wednesday, August 28, 2019

CMS Introduces a New MyHealthEData Pilot

Dan Ciolek

On July 30, the Centers for Medicare & Medicaid Services (CMS) announced a new pilot program for clinicians called “Data at the Point of Care” (DPC). DPC is based on an industry-standard application programming interface (API), and is part of the MyHealthEData Administration-wide initiative led by the White House Office of American Innovation.

The DPC pilot program is designed to leverage Medicare’s Blue Button data to provide clinicians with access to claims data. If successful, the claims data will fill in information gaps for providers, giving them a more structured and complete patient history with information like previous diagnoses, past procedures, and medication lists. Blue Button 2.0 has provided better access to this data for patients but now CMS is seeking to help connect providers to their patients’ information. Providers will be able to access the DPC pilot data directly within their workflow, without needing to log into another application. This in turn will reduce burden in the exam room and give providers more time to deliver high quality care for their patients.

Providers participating in the DPC pilot program will be allowed to request a Medicare beneficiary’s claims data from CMS to get a full snapshot of their care including from other healthcare providers the beneficiary has seen for care. This will be done through a developer-friendly, industry-standard API using Health Level 7’s Fast Healthcare Interoperability Resource (FHIR®) standard, one of the most popular protocols for joining disparate systems together to promote interoperability and seamlessly share health information.

Providers who are interested in participating in the DPC pilot program can sign up by visiting: https://dpc.cms.gov. Beneficiaries who wish to opt out of data sharing can do so by calling 1-800-Medicare.

For more information on Blue Button, please visit: https://bluebutton.cms.gov.

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