Axway U.S. Healthcare Solutions

In the U.S., the Health Insurance Portability and Accountability Act (HIPAA) requires all individually identifiable health care information to be protected when electronically stored, maintained, or transmitted.

More recently, the U.S. adopted the Health Information Technology for Economic and Clinical Health (HITECH) Act. The Act mandated stricter HIPAA requirements by February of 2010, and incented greater use of health information technology, including secure exchange of health records to improve health outcomes.

The legal liabilities and penalties associated with HIPAA and HITECH violations and accidental data losses, a push to automate and standardize processes, and the desire to get out in front of a possible upheaval of the entire industry are motivating healthcare providers and payors to look for technology solutions that can improve efficiency and facilitate regulatory compliance at the best cost.

Axway offers a suite of healthcare communication solutions that enable hospitals, pharmacies, MCOs, and other healthcare and health plan providers to:

  • On-board and successfully manage thousands of trading partners that submit transactions for eligibility, claims, claim status, enrollments, authorizations, and premium payments.
  • Build secure health information exchanges (HIEs) to integrate and automate the exchange of EHR and financial information as health records and claims flow between separate, independent information systems across healthcare communities.
  • Enforce corporate and regulatory policies to ensure the confidentiality of Protected Health Information (PHI) and financial data while reducing the cost and complexity of complying with HIPAA, HITECH, and other current and future government mandates.
  • Connect with other healthcare organizations, partners and patients to share information and meet all stages of Meaningful Use requirements.
  • Improve workflow for business processes around development and management of HIPAA-compliant and non-HIPAA data files, and to align compliance efforts with internal efficiency initiatives to contain and reduce administrative costs.
  • Implement efficient and secure platforms for building and managing complex electronic data interchange (EDI) transactions, exchanging large files quickly and easily, and performing real-time transactions.
  • Gain end-to-end visibility of health transactions, and support HIPAA requirements for Accounting for Disclosures, which mandates that patients be provided with reports detailing who has received copies of their health records.

Ensure regulatory compliance and prevent data loss

Axway MailGate SCTM adds multiple layers of protection to existing email networks — including defenses against external threats, comprehensive security for inbound and outbound messages, and policy-based encryption services — without requiring changes to enterprise systems, applications, protocols, or end-user procedures.

MailGate SC can protect against accidental data loss and leakage by automatically identifying messages that may be in violation of HIPAA, HITECH, or corporate security policies, encrypt messages to ensure the confidentiality of private financial and healthcare information, (i.e., statements, claims, and patient records), track and document compliance for regulatory and legal risk mitigation, and protect healthcare-related data and systems from spam, viruses, phishing, hackers, and other email threats.

Secure, monitor, and track managed file transfer (MFT)

Axway MFT solutions offer a broad spectrum of security measures to protect against data loss and improve governance. Complete audit trails simplify and lower the cost of compliance with industry and government regulations such as HIPAA, HITECH, GLBA, and SOX, as well as with your organization’s internal security and privacy policies. End-to-end monitoring and tracking of file movements delivers granular visibility into your entire file transfer infrastructure — no matter what applications, systems, or platforms you or your trading partners have in place.

Modernize EDI and create a secure online business interaction community

Axway B2Bi provides a simple way to handle EDI within secure online communities, regardless of community size or IT platforms. Using Axway B2Bi, you can:

  • Simplify trading partner management by streamlining how you on-board and interact with your business partners, suppliers, and customers. Axway B2Bi is based on an open platform with adaptive industry components, allowing for maximum scalability and flexibility.
  • Gain end-to-end visibility into every transaction and communication to help glean operational insights.
  • Improve governance, security, and traceability with complete audit trails that simplify and lower the cost of compliance with industry and government regulations.
  • Ensure HIPAA Level 7 compliance for all B2B data exchanges. Using Edifecs technology, Axway B2Bi performs certification and run-time validation of HIPAA transactions to ensure Level 7 compliance.