How the Centers for Medicare & Medicaid Innovation (the Innovation Center) is deliveringa secure, intuitive management tool to Alternative Payment Model (APM) participants.
“I think that this invitation is awesome. I love that someone who already had access could assign access to another person.”
- 4innovation UserThe Centers for Medicare & Medicaid Innovation (CMMI)conceptualizes a variety of innovativemodels every year. These models are onboardedto a variety of platforms creating a disjointed userexperience for Entity users.
Support a variety of APMs Reduce the infrastructure blueprint and storage and operating costs Support Application Programming Interfaces (APIs)for data exchange(s) while providing flexibility and security Provide real-time feedback on Participant Medicare enrollment checks Consider end-to-end user experience and Human Centered Design (HCD) to drive the design decisions Simplify and centralize end-to-end business processes for models within CMMI Securely share sensitive Protected Health Information/Personally Identifiable Information (PHI/PII) documents with stakeholders through the DatHub
“I really, really like this Entity page. It’s helpful to have a one-stop shop for information about the organization-without having to go back into a document somewhere on file.”
- 4innovation UserBy working with CMS, we defined an initial set of critical features (Minimum Viable Product – MVP) that are required to support Direct Contracting and KCC models for initial rollout. From there, additional features were incrementally identified, developed, and made available to users.
Multi-Factor Authentication using CMS Enterprise Identity Management (EIDM) IDs
Invite users to access the systemand manage users in their Entities
Manage Entity application data
Get real-time feedback on participant Medicare enrollment checks for providers
Manage Entity application data
Sign and manage Participation Agreements and HIPAA Disclosure Forms to access sensitive data
View and download real-time reports related to agreements, participants, users’ access, and change requests for APM Entities
Securely access the sensitive data such as claims and beneficiary reports
Publish and manage model andsystem content (FAQs/Documents/ Articles/Events/Webinars)
Request and manage API keys and monitor API usage statistics
“I really, really like this Entity page. It’s helpful to have a one-stop shop for information about the organization-without having to go back into a document somewhere on file.”
- 4innovation UserDeveloped and maintained microservices/serverless-based architecture. Built-in automated security controls. Elastic infrastructure/auto-scaling to support unpredictable periodic workloads.
Adopted CMS’ API First initiative to define API design patterns, security, and monitoring. Developed API using the most suitable programming language-based performance and computational requirements (Polyglot architecture).
Re-use before developing new; open-source before custom code.
Applied Softrams’ Human-Experience Design Framework by conducting research throughout the Discovery, Design, and Development processes. Led usability testing with actual 4i end users, ensuring an intuitive, clear interface.
Implemented a Scaled Agile Framework combining Agile and Lean principles to deliver incremental value to stakeholders resulting in improved predictability, accountability, quality and overall value to the stakeholders.
