MedVirginia, Inc., doing business as Clareto, has been a long-time innovator in the field of health information exchange. Founded in 2000 by Virginia healthcare providers, its focus has been on initiatives that improve the quality, safety, and efficiency of health data. MedVirginia was the first HIE to be live on eHealth Exchange, the nation’s largest query-based health information network.
In 2009, the first data exchange on the network occurred between the Social Security Administration’s Health IT Program (for expediting disability determinations ) and MedVirginia.
Later that same year, MedVirginia was selected as an exchange partner with the Department of Veteran’s Affairs and Department of Defense in the Virtual Lifetime Electronic Record (VLER) initiative.
Today, the combination digital health and insurtech company is translating its unique history and experience in healthcare interoperability to commercialize novel use cases and pursue emerging market opportunities, with an initial focus on modernizing life insurance underwriting. Based in Richmond, Virginia, Clareto is led by a multi-disciplinary management team with deep expertise in the healthcare and insurance sectors and is uniquely positioned to work successfully with HIEs, healthcare organizations and EMR vendors to share electronic health records for non-treatment purposes, such as life and disability insurance determinations.
Leveraging MedVirginia’s HIE technology, eHealth connection, and extensive governance experience, allows Clareto to expand carrier access to data, simplify the process and ultimately improve the customer experience. To date, Clareto has successfully implemented 8 HIEs through this methodology. The path to production requires Clareto to identify progressive HIEs with high-quality data and resources to implement. The insurance use case is first evaluated by the HIE management team and brought to its board, or governing body, for approval. The national networks have already approved the non-treatment use case, and updated participation agreementsto reflect patient-authorized release of data using the standard HIPAA authorization obtained by insurance carriers. For HIEs that are members of existing national networks such as eHealth Exchange the technical requirements are minimal, requiring only a few hours of testing.