Clover Health Becomes First Payer on CMS Aligned Network and TEFCA
Clover Health first payer live on CMS Aligned Network |
Clover Health became the first payer to operate on the CMS Aligned Network utilizing FHIR USCDI v3 formats.
Summary
Clover Health has become the first payer to offer services on a CMS Aligned Network and TEFCA for patient-directed requests. This enables real-time access to clinical and claims data in standardized FHIR (USCDI v3) formats.
Key Players
Details
With this milestone, Clover Health enables authenticated Medicare members to request and receive structured clinical and claims data in real time. Counterpart Health powers the underlying infrastructure, while Kno2 routes secure requests across the network. The achievement facilitates real-time exchange of clinical and claims data using standardized FHIR (USCDI v3) formats. Furthermore, Counterpart Health provides production-grade infrastructure that enables scale to other plans. Clover, Kno2, and Counterpart are scheduled to demonstrate this end-to-end flow at HIMSS 2026 (March 10–12). This represents a significant step toward realizing technology-driven, value-based care and national data connectivity.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: USCDI
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