finopsFramework: '2024.0'
focus: '1.1'
info:
  title: Jefferson Health FinOps Disclosure
  description: >-
    FinOps disclosure for Jefferson Health's published API surface. Because
    Jefferson Health's CMS Interoperability and Patient Access FHIR APIs
    are free at point of use for patient-authorized apps, there is no
    consumer-facing billing surface to map to the FinOps Framework /
    FOCUS data spec. The operational cost is borne by Jefferson Health
    internally as part of regulatory compliance with CMS-9115-F and the
    21st Century Cures Act. Clinical billing (hospital and professional
    services) is governed by payer contracts, HIPAA, and the Hospital
    Price Transparency rule — not by an API monetization layer.
  created: '2026-05-23'
  modified: '2026-05-23'
provider:
  name: Jefferson Health
  url: https://www.jeffersonhealth.org/

scope:
  inScope:
  - id: tjuh-fhir-r4-api
    name: Thomas Jefferson University Hospital FHIR R4 API
    billingModel: free
    chargeCategory: Usage
    chargeClass: null
    pricingModel: Free
    notes: No developer billing. CMS-mandated free access for patient-authorized apps.
  - id: jhp-patient-access-fhir-api
    name: Jefferson Health Plans Patient Access FHIR API
    billingModel: free
    chargeCategory: Usage
    pricingModel: Free
    notes: No developer billing. Member-authorized access.
  - id: jhp-provider-directory-fhir-api
    name: Jefferson Health Plans Provider Directory FHIR API
    billingModel: free
    chargeCategory: Usage
    pricingModel: Free
    notes: Public unauthenticated; no developer billing.
  outOfScope:
  - id: clinical-services
    name: Clinical Services Billing
    rationale: Hospital and professional services billing is governed by payer contracts and Hospital Price Transparency, not a developer API meter.
    references:
    - https://www.jeffersonhealth.org/pay-my-bill/charge-description
    - https://www.jeffersonhealth.org/pay-my-bill/price-estimator
  - id: health-insurance-premiums
    name: Jefferson Health Plans Premiums
    rationale: Insurance product premiums are sold through enrollment channels and Marketplaces, not as developer-priced API consumption.

invoicing:
  developerInvoicing: false
  internalCostRecovery: not-disclosed

tags:
- name: ChargeCategory
  values: [Usage]
- name: PricingModel
  values: [Free]
- name: BillingAccountType
  values: [None]