Centers for Medicare and Medicaid Services, a Baltimore-based agency, has selected vendors to test the feasibility of allowing covered individuals to access their claims information through personal health records.
Capstone Government Solutions, in Nashville, Tenn., and Shared Health, in Chattanooga, Tenn., were chosen to populate PHRs with Medicare beneficiary claims data.
Capstone, a joint venture between Cigna Government Services, of Atlanta-based Cigna, and BlueCross BlueShield of Tennessee, also headquartered in Chattanooga, is positioned to access both Medicare Part A (hospital) and Part B (physician) claims data.
Capstones partner in this effort, PHR technology vendor Shared Health, offers pre-populated, patient-centered clinical health records to more than 600,000 Medicaid patients in Tennessee.
The CMS project, called the Personal Health Records Feasibility Test, is a six-month study to examine transmission of Medicare claims data into an electronic PHR system.
The agency first issued an RFP (request for proposal) on this project in January of 2006.
The original RFP called for the Personal Health Records Feasibility Test project to not only assess the feasibility of populating PHRs with Medicare claims data but also to evaluate options for exchanging data between CMS systems and PHR tools, to determine data content and functionality of PHRs specific to Medicare beneficiaries, and to understand the current PHR environment with respect to best practices for security and privacy issues.
“We are very excited to be a part of this initiative,” said Jana Skewes, president and CEO of Shared Health. “It supports Shared Healths strategy to not only engage patients at the desktop—but to also digitally connect patients with health care providers to improve quality and lower cost.”