You built the care model. We'll carry the payer tech.
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.
Going payer means owning CMS's member-facing and interoperability mandates — on top of the care model you already run.
- Now
Submit, update, attest.
Submit directory data to CMS, update within 30 days of any change, and attest annually that it's accurate.
42 CFR §422.111(m)
- In effect
90-day verification.
Verify every provider's directory record at least once every 90 days — required since Jan 2026 (REAL Health Providers Act).
CMS-4208-F2
- PY2027
Public on Plan Finder.
Your provider directory goes public on Medicare Plan Finder — accuracy becomes a competitive signal.
CMS-4208-F2
- Jan 2027
Interoperability APIs.
Provider Access, Payer-to-Payer, and Prior Authorization APIs come due (the public FHIR Provider Directory API is already required).
CMS-0057-F
- PY2029
Published accuracy score.
MA organizations must prominently display their provider-directory accuracy score; CMS publishes it too.
CMS-4208-F2
What's standing in the way.
Clinical strength, payer-tech gap.
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.
CMS measures the gap, not the intent.
Directory accuracy, FHIR APIs, and adequacy filings are graded the same whether you're a national carrier or a provider group in year one.
Brand and member trust.
Your members should see your name and a polished experience — not a generic vendor tool bolted onto your plan.
Built for exactly this.
01
Stay focused on care.
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
Proven on the provider-led path.
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
White-label, your brand.
Members see your plan — domain, logo, language. We stay invisible; the conformance is ours.
From your data to live — in about a week.
- 1
Map the leap
We scope the payer-tech and compliance surface against your launch plan.
- 2
We run the layer
Directory, search, FHIR, and adequacy analytics — white-labeled to your brand.
- 3
Certify in parallel
508/ADA, FHIR conformance, and audit logging alongside your build.
- 4
Members see you
A polished, compliant experience under your name from day one.
Ready when you are
You run the care. We'll run the compliance.
A provider-led MA plan already runs on this in production. We've done this leap before.