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Buy or Build Your FHIR Platform
The decision to build a FHIR®-native platform in-house, or buy a comprehensive solution from a vendor is more than a technical choice—it’s a financial and operational strategy that impacts compliance to ONC and CMS mandates, member outcomes and ratings, revenue and reimbursements, and long-term success.
This Decision Guide helps US payers evaluate the total cost of ownership (TCO) by:
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Explaining the rationale behind cost considerations for both the initial build and maintenance years.
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Introducing technicalities, workflows and internal change management for meeting the CMS-0057-F, and especially Prior Authorization requirements.
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Breaking out labour, maintenance and operational costs for the in-house build option for 5 years, for clear comparison with a market-ready buy solution.
Designed for payers who are amidst their decision-making process to align with the CMS-0057-F Rule, this guide provides clear financial allocations and clarity to make an informed, future-proofed decision.