Data Securityand Compliance
Clever Care required a solution to build payer and provider interoperability through standards-compliant interoperability and APIs such as HL7 and Fast Healthcare Interoperability Resources (FHIR) while becoming compliant with the CMS Patient Access Final Rule.
In order to deliver next generation digital experience to their members, Clever Care needed to expand and innovate into the digital healthcare space by creating a platform for interoperability, via an API-driven integration platform.
Clever Care was founded to help members of the communities they serve to understand the complexities of their health care. They are dedicated to providing culturally sensitive health care solutions that offer members better access to the services they need in the language they understand. They deliver on their commitment to members’ health and well-being by offering Medicare Advantage plans that connect the benefits of Eastern and Western medicine.
Clever Care selected WSO2 Open Healthcare to bring about digital transformation. The solution is built on top of an industry-leading, open-source integration platform. The platform allows you to quickly transform your data and expose secure APIs to meet interoperability requirements mandated by governments to meet CMS compliance.
The solution is provided as a managed service in Azure Cloud. WSO2 Open Healthcare connects to Clever Care’s data warehouse and transforms data into FHIR resources required by the Patient Access and Provider Directory APIs for the CMS final rule. The APIs are secured through OpenID Connect and OAuth2 and exposed externally through a Developer Portal for third parties.
WSO2 provides Clever Care with a cloud-native, ready-made solution at an attractive price point. With a focus on data security and compliance, the solution enables Clever Care to effectively mobilize its digital transformation journey.
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