Jefferson Health Plans (JHP) interoperability program provides seamless data sharing between JHP, our members and our partners in response to the CMS Interoperability and Patient Access Final Rule. The Centers for Medicare & Medicaid Services (CMS) has implemented interoperability final rules that affect all of our members. The rules include a mandate that provides members with greater access to their health care data and improves data sharing between members, their providers, and JHP.
The mandate that was enforced on July 1, 2021 includes three parts:
- Patient Access Plan Data Application Programming Interface (API)
- Provider and Pharmacy Directory (API)
- Medication Formulary and Benefits (API)
Effective, July 1, 2021, JHP members can access their claims and clinical information through a third-party application that has been verified and connected to our Fast Healthcare Interoperability Resources (FHIR) APIs. Verified third-party application developers are allowed to connect to our FHIR data repository to retrieve member data, which can include protected health information (PHI) when authorized by the member in accordance with the provision of the Interoperability and Patient Access final rule. Publicly available data, such as provider directories and formularies, will be available through the provider directory API and formulary API to all connected applications.
- Sign up for an account on our Interoperability Resource Center to access your health data, view the third-party application gallery, and give consent to a representative. To register successfully, you will need your JHP Member ID number and a valid email address.
- Review the Interoperability User Guide (PDF).
App Gallery
JHP members can select any of these verified applications.
