CMS Interoperability Compliance Data Solution Suite

Streamline Compliance

Tech Mahindra's CMS Interoperability Data Solution Suite helps payers at any point in their CMS compliance journey. It supports adherence to the current CMS-9115-F mandate and accelerates the implementation of CMS-0057-F requirements. The solution leverages Tech Mahindra's healthcare data and interoperability platform for payers.More

Tech Mahindra's CMS Interoperability Data Solution Suite helps payers at any point in their CMS compliance journey. It supports adherence to the current CMS-9115-F mandate and accelerates the implementation of CMS-0057-F requirements. The solution leverages Tech Mahindra's healthcare data and interoperability platform for payers. It offers a set of ready-to-use compliance modules that help payers meet CMS-0057-F requirements quickly, starting with the early 2026 metrics reporting deadline. The solution delivers complete, accurate, and timely data for seamless interoperability and can be deployed flexibly as individual modules or a fully integrated system tailored to each customer's needs. Payers can get strategic benefits from the solution that goes beyond compliance. These benefits include quality improvement, value-based care, risk adjustment, and comprehensive longitudinal member records. As an end-to-end large service provider, we have partnered with leading interoperability product companies, enabling comprehensive solutions with seamless implementation and support.

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Navigate CMS-0057-F 
and Scale Faster

The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) builds upon the earlier CMS-9115-F mandate. Solutions compliant with these regulations will accelerate the adoption of FHIR APIs to enable secure, seamless data exchange across the healthcare ecosystem. This regulation requires payers to create APIs for patient access, provider access, payer-to-payer data exchange, and prior authorization. To meet these requirements, healthcare payers must modernize their data systems and integrate new capabilities to ensure compliance within the specified timelines. Impacted payers have until January 1, 2027, to meet the CMS-0057-F mandate and avoid penalties.

Solution Highlights

Comprehensive CMS Interoperability Compliance Solution

The solution supports payers at any stage of their CMS compliance journey, ensures compliance with the CMS-9115-F mandate, and speeds up the CMS-0057-F implementation process.

Turnkey Interoperability Modules

The module supports FHIR APIs, complies with the CMS-9115-F and CMS-0057-F regulations, and includes reporting metrics for 
CMS-0057-F.

Modular and Scalable Design

Suitable for players of all sizes and readiness levels.

Accelerated Implementation

It enables a quick migration process to meet CMS reporting requirements on January 1, 2026, while minimizing rework for future CMS-0057-F data requirements.

Flexible Deployment

Customers can opt for ePA metrics and routing or fully deploy CMS-0057-F modules for patient, provider, and payer data access and interoperability.

Data-driven ROI

Usable data assets enable an interoperability strategy that unlocks business value.

Robust Data Security

The HITRUST r2-certified and SOC 2-certified platform is compliant, has data security, and protects user data.

Solution Benefits

Compliance Assurance

Supports CMS-9115-F and CMS-0057-F requirements, ensuring compliance and enabling efficient implementation.

Future-Proof Solution

Accommodates evolving CMS mandates, minimizing rework for new requirements.

Cost Optimization

Reduces implementation time and effort through pre-built accelerators and data models.

Flexible, Modular Deployment

Based on business needs, specific CMS-0057-F modules (patient access, provider access, payer-to-payer interoperability) are deployed.

Robust Data Foundation

This feature enables normalized and standardized healthcare data models, creating a strong foundation for an enterprise-wide interoperable data ecosystem.

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