Qualified Health Plans (QHPs) are beginning to enroll new members through the Health Insurance Exchange (HIX) Marketplace as envisioned through the Affordable Care Act. One of the requirements that each health plan must meet is the establishment of an Edge Server.
An Edge Server is a one-directional, secure data sharing platform that will allow the Department of Health and Human Services to receive de-identified, aggregated member health data from the QHPs. This exchange of data occurs at the “edge” of a health plan’s system, minimizing data transfers, avoiding the need for member-level enrollment and claims information to be shared with HHS thus ensuring health plans’ proprietary data remain secure. Access to these data is critical to evaluating the appropriate risk score and reinsurance reporting from the health plan.
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