Unifying Healthcare Interoperability with Open Standards

The future of value-based care software hinges on a simple, but powerful idea: every patient, physician and health plan should have seamless access to complete, high-quality health data when and where they need it. That’s why last week, we responded to CMS’s recent Request for Information (CMS-0042-NC), where we outlined a bold, yet practical, vision for transforming the fragmented health data infrastructure into an intelligent, interoperable digital ecosystem with our RADV audit guidelines.

At Reveleer, we see firsthand how disjointed workflows, siloed data, and limited interoperability continue to burden the healthcare industry. That said, we also see opportunity when the right standards, policies, and technologies align.

Unlocking the Power of Data for Every Stakeholder
‍
Today’s healthcare technology, whether you’re a patient, physician, or a health plan is often fragmented and confusing because data isn’t freely, securely, and meaningfully moving between all points of care.

In our response to CMS, our guidance is to mandate open, standards-based APIs that enable real-time access to all permissible patient data, whether it’s structured, semi-structured, and unstructured, across the care continuum. Doing so would:

• Empower patients with accurate, holistic views of their health, supporting better decision-making and outcomes.

• Equip providers with full clinical context at the point of care, reducing administrative burden and enabling proactive care.

• Enable payers to streamline risk and quality programs, thereby improving performance and reducing costs.

• Accelerate innovation across the developer and digital health ecosystem, creating new tools that serve the needs of modern healthcare users.

AI and Open Standards: A Catalyst for Smart, Scalable Care
‍
Standardized data access doesn’t just streamline workflows, it unlocks the full potential of advanced technologies like artificial intelligence. At Reveleer, we’re already there, our platform leverages AI, NLP, and machine learning to extract clinical insights, identify gaps in care, and support accurate reimbursement. Our recommendation on what’s needed is broad adoption of FHIR-native APIs and comprehensive data availability to reduce friction and errors across the ecosystem, accelerating the impact of these tools where they matter most.

Reducing Burden, Increasing Confidence
‍
When providers are overwhelmed with manual chart retrieval, data reconciliation, and duplicative reporting requirements, patients pay the price. Our recommendations to CMS include embedding clinical quality APIs into EHRs, supporting prospective risk and quality improvement workflows, and using modern data formats like NDJSON for scalable population health management. These shifts won’t just reduce waste, they’ll restore trust in the data and improve outcomes for everyone.

A Call to Collaborate: Moving Healthcare Forward, Together
‍
What CMS is proposing isn’t just a technology update; it’s a industry-wide reset. It’s a chance to create a shared foundation where patients get the care they need, physicians get the support they deserve, and health plans and partners have the tools to lead in a value-based world.

Reveleer recommended CMS:

• Mandate open, FHIR-native APIs with full EHI access, including unstructured and scanned records.

• Incentivize certified platforms that improve risk accuracy, close care gaps, and reduce reporting burden.

• Recognize ACOs and VBC enablers as essential participants under TEFCA and ensure they have access to the data needed to manage care effectively.

• Harmonize standards and reduce redundant, costly frameworks that slow innovation.

The Path Forward
‍
This is a pivotal moment. By aligning technology, policy, and performance incentives, we can finally overcome the legacy barriers that have limited progress for decades. Reveleer stands ready to work with CMS, physicians, health plans, and digital health innovators to build an open, intelligent, patient-centered system.