Going from ACO REACH or an MSO to your own MA plan is a tech leap — directory, FHIR, adequacy, member search. We run that layer, white-labeled to your plan.
Submit directory data to CMS, update within 30 days of any change, and attest annually that it's accurate.
42 CFR §422.111(m)
Verify every provider's directory record at least once every 90 days — required since Jan 2026 (REAL Health Providers Act).
CMS-4208-F2
Your provider directory goes public on Medicare Plan Finder — accuracy becomes a competitive signal.
CMS-4208-F2
Provider Access, Payer-to-Payer, and Prior Authorization APIs come due (the public FHIR Provider Directory API is already required).
CMS-0057-F
MA organizations must prominently display their provider-directory accuracy score; CMS publishes it too.
CMS-4208-F2
You've built a care model that works. The payer-side stack — directory, FHIR, adequacy, member search — is a different discipline CMS still measures you on.
Directory accuracy, FHIR APIs, and adequacy filings are graded the same whether you're a national carrier or a provider group in year one.
Your members should see your name and a polished experience — not a generic vendor tool bolted onto your plan.
01
You built the clinical model; we run the payer-tech and compliance layer behind it, so your team isn't pulled into directory engineering.
02
The same platform already runs a provider-led MA plan in production — this isn't a road we're scouting, it's one we've travelled.
03
Members see your plan — domain, logo, language. We stay invisible; the conformance is ours.
Map the leap
We scope the payer-tech and compliance surface against your launch plan.
We run the layer
Directory, search, FHIR, and adequacy analytics — white-labeled to your brand.
Certify in parallel
508/ADA, FHIR conformance, and audit logging alongside your build.
Members see you
A polished, compliant experience under your name from day one.
Ready when you are
A provider-led MA plan already runs on this in production. We've done this leap before.
