# Flexpa Selected as CMS Aligned Network Early Adopter

## Pioneering the Digital Health Ecosystem to Kill the Clipboard by December 31, 2025. Flexpa is the national leader in SMART Health Cards and Links.

## CMS's Vision for Patient Access & Empowerment

1. **Any patient, using applications of their choice, can access their entire medical record anywhere that it lives on the network**  
   The medical records will include both structured and unstructured data. Apps can be commercial or non-commercial and will not require any special status to be on the network. They will be able to communicate without special effort.

2. **No additional login or portal info to be required**  
   If a patient uses a digital identity credential (through a CMS-approved IAL2 provider), all nodes must return full records without requiring knowledge of specific providers, portal accounts, or additional interactions. In addition, implementers should leverage additional credentials, including digital insurance cards, to improve the patient's identity verification and trust.

3. **Audit log transparency**  
   The network provides an accounting record of all network-facilitated transactions, including for treatment, (who accessed the patient's data, when, and why) and ensuring a timely response for each request.

4. **Patient consent preferences when included in a transaction, must be shared with all involved parties**  
   This should be the case for all purposes of use. These preferences must be supported when required by law or policy, including honoring a patient's right to opt out of sharing for non-treatment purposes.

## Flexpa's Pledge to the CMS-Aligned Network

"We pledge to empower patients to retrieve their health records from CMS Aligned Networks or personal health record apps and share them with providers via QR codes or Smart Health Cards/Links using FHIR bundles. When possible, we will return visit records to patients in the same format. We commit to seamless, secure data exchange - eliminating the need for patients to repeatedly recall and write out their medical history. We are committed to Kill the Clipboard, one encounter at a time."

Specifically, Flexpa pledges to the following by December 31, 2025:

### Record Interoperability

#### Generate in-app SMART Health Cards and Links  
   Generate secure QR codes containing complete FHIR medical records that patients can instantly share with any provider.

### Digital Identity

#### Demonstrate IAL2 OIDC Token Use  
   Demonstrate end‑to‑end use of an IAL2 OIDC token to pull FHIR records natively. Helping patients to access their complete medical records across the network without additional logins or portal registrations.

### Patient Experience

#### Enable Real-Time Post-Visit Summaries  
   Deliver real-time, FHIR-compliant visit summaries with diagnoses, procedures, medications, and provider notes that patients can immediately share.

## Flexpa is an Industry Leader in Healthcare Interoperability

Flexpa is the national leader in FHIR-native APIs, consent management, and SMART Health Cards and Links. Flexpa's contributions to healthcare data standards and CMS compliance initiatives demonstrate our commitment to advancing the industry.

## The Future of Healthcare

CMS-Aligned Networks will have revolutionary capabilities that will transform how patients and providers interact with health data.

### Kill the Clipboard

#### End Manual Check-In Forms Forever
  Patients walk into any provider's office, scan a QR code with their phone, and instantly share their complete health history and insurance information. No clipboards, no forms, no repetitive data entry.

### IAL2 Identity

#### No More Portal Logins  
Patients can use verified digital credentials to instantly access complete records from anywhere on the network. One identity, universal access, zero friction.

### SMART Health Links

#### Never Forget What the Doctor Said  
   After each appointment, patients receive their visit summary as a SMART Health Link that they can store in their digital wallet and share with other providers instantly.

### Structured + Unstructured Data

#### Stop Hunting for Records  
   Access not just claims data, but complete medical records including chart notes, radiology reports, and clinical documents in human-readable formats (PDF, TIFF, JPG) as specified in USCDI v3.

## Ready to Deliver

Flexpa's existing capabilities and network reach position us to meet CMS framework requirements at scale.

350+ Healthcare Payers Connected on our network  
286M+ Patient Records Accessible through our platform  
100% Built on FHIR Native APIs and SMART Health Cards

## Frequently Asked Questions

What is the CMS-Aligned Network initiative?  
How does 'Kill the Clipboard' work?  
What makes Flexpa uniquely positioned for this initiative?  
What's the timeline for implementation?  
How does this benefit patients and providers?