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TEFCA Operations Open Forum for Healthcare Payers by Brendan Keeler

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TEFCA Operations Open Forum
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About the Forum

TEFCA Operations Open Forum For Healthcare Payers

The TEFCA Operations Open Forum, led by Brendan Keeler, Interoperability Practice Lead at HTD Health, aims to increase payer participation in data exchange initiatives. This aligns with TEFCA's broader objectives of creating a standardized framework for healthcare data sharing.

  • Exploration of data exchange use cases and the regulatory landscape (CMS-9115, CMS-0057, HTI-2).

  • How payers can access data for care coordination, HEDIS reporting, and quality measures.

  • MEDICAL HEALTH TECHNOLOGY

    TEFCA Operations vs. alternatives like Individual Access Services (IAS) and secondary use patterns.

  • The importance of avoiding asymmetric relationships in health information networks.

  • Medical Device

    Potential integration of TEFCA with CMS-0057 requirements.

  • Overview of upcoming deadlines and the current state of TEFCA adoption.

Key Takeaways

1. TEFCA offers a structured approach to data exchange, but other methods exist and are discussed.
2. The forum is open to various use cases and participants beyond payer-provider interactions.
3. Compliance dates and regulatory requirements are crucial for payers to understand and prepare for.
4. Industry collaboration and participation in testing initiatives are essential for TEFCA's success.
5. TEFCA's potential extends beyond its initial scope, possibly serving as a foundation for broader interoperability efforts.

Next Steps

1. Engage with QHINs for up-to-date pricing information
2. Participate in the 10x10 initiative to support TEFCA purpose of use codes
3. Consider involvement in real-world testing initiatives
4. Stay informed about upcoming deadlines and regulatory changes

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