Improving Beneficiary Access to Health Information
The Centers for Medicare & Medicaid Services (CMS) want to redesign the CMS Blue Button to enable it as a Data-as-a-Service platform to empower patients and enable the use of the data with third party applications.
As the single largest health insurance payer in our country, the Centers for Medicare & Medicaid Services (CMS) maintains an incredibly valuable database of health insurance claims data that can be used to better manage health and improve healthcare outcomes. One important use of this data is making it available to Medicare beneficiaries and allowing them to share this information with their doctors and caregivers to improve care coordination.
CMS currently makes 3 years of Medicare Parts A, B, and D claims history available to beneficiaries via Blue Button. Blue Button is a broad initiative across multiple health care payers to allow patients to easily access their own health information in electronic form. However, the CMS Blue Button tool has limited functionality and scalability, making it difficult for beneficiaries to use and share their health information. To realize the full potential of sharing Medicare claims with beneficiaries, CMS needs to make these data available to beneficiaries in a usable and patient-friendly format. In addition, a Blue Button platform that allows third party services to build apps and other tools that can easily collect, present, and share the data (in a manner that ensures the privacy and security of the data) will make the data more actionable for patients.
HHS Entrepreneurs is one of our in-residence pathways that is bringing new talent into government. HHS Entrepreneurs pairs HHS employees with external expertise to work on an identified problem for a 12 month period. This project is one of six projects from the third cohort of HHS Entrepreneurs. Learn more about HHS Entrepreneurs.