Moxe HealthMember Level: Vendor
Description of Services: Moxe helps health plans acquire, harmonize, and use clinical and administrative data.
Our clinical data retrieval platform fully integrates with EMRs to ensure the data you receive can be used for payment and operations, risk adjustment, and HEDIS. Data transfers can be delivered instantly in a variety of standard or custom file formats. With cutting-edge software that automates data exchange, we provide an industry leading first-time patient match rate of over 98%.
In the other direction, we help you deliver your insights directly into the tool providers already use: their EMR. Optimized for use in risk adjustment, HEDIS, and care coordination, our bidirectional EMR integration means no more double-documenting for clinicians. As a result, health plan customers have seen a 2x improvement in the rate that clinicians act on insights shared.
Finally, we have been utilizing our healthcare interoperability assets to help health plans secure compliance with CMS’ March 2020 final rule for the 21st Century Cures Act. In particular, our infrastructure solves for the patient API and payer-to-payer data sharing requirements, which require access to clinical and administrative data in a standardized manner for members and other payers.
Primary Service: Automation, Workflow and IT Services
Secondary Service: Enterprise Data
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301 W. Johnson Street, Suite 300
Madison, WI 53703
Presentation: 21st Century Cures - CMS Interoperability Rule
An Opportunity for Member Engagement & Clinical Data Acquisition. This presentation covers the CMS Interoperability and Patient Access Rule finalized earlier this year. The regulation emerged from the 21st Century Cures Act and is attempting to streamline the flow of data between health plans, providers, and members/patients.
Recording: Compliance with the 21st Century Cures CMS Interoperability Rule — An Opportunity for Member Engagement and Clinical Data Acquisition
This video will start with an overview of what health plans are required to do for compliance with the CMS Interoperability and Patient Access Rule finalized earlier this year. Next, we will compare different approaches for plans to stand up the required technology for data sharing, along with a brief overview of Moxe Health’s solution. Finally, we will explore strategic opportunities emerging from the rule, including implications for member engagement as well as clinical data acquisition.
Presentation: The CMS Interoperability Rule - Executive Summary
The new 21st Century Cures CMS Rule requires health plans to share standardized clinical and administrative data with third-party applications as authorized by members, among other requirements. We deliver a customized approach using prebuilt components so you maintain compliance and improve operations.