- Published On: July 1, 2024
Unlock the power of Provider Access API for payers. Explore use cases for risk adjustment, care coordination, value-based care, and improve collaboration with providers. Learn how to leverage data sharing for better member outcomes.
- Published On: June 24, 2024
CMS mandates prioritize member opt-in for healthcare data sharing. Explore challenges and opportunities for payers under Interoperability and Patient Access and Information Blocking rules. Learn strategies to increase opt-in rates and improve care coordination.
- Published On: June 17, 2024
Unlock the future of secure healthcare data exchange with FHIR HRex. Explore how this Da Vinci Project initiative leverages FHIR to improve interoperability and member consent for better care coordination.
- Published On: May 8, 2024
New Medicare Advantage Star Ratings (MY2024 & MY2025): Challenges & Opportunities for Health Plans. Discover how to improve Star Ratings performance with a data-driven approach, real-time member insights, and focus on health equity & patient well-being.
- Published On: May 2, 2024
Boost Payer-Provider Collaboration! This blog explores how Payers can use healthcare data analytics & CMS initiatives to leverage interoperability and deliver actionable insights to Providers. Empower population health management through data-driven collaboration!
- Published On: April 26, 2024
The Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) in January 2024.
- Published On: April 17, 2024
HEALTH CHAIN INSIGHTS | 10-minute read The healthcare industry throws around terms like "interoperability" a lot, but for senior leaders in risk adjustment, quality improvement and data & analytics at Health Plans, understanding its practical implications is crucial. [...]
- Published On: April 11, 2024
HEALTH CHAIN INSIGHTS | 5-minute read For health plans, data is king. But the true value lies in unlocking its meaning – a challenge that can be addressed with effective interoperability. This blog dives into two key [...]
- Published On: April 5, 2024
HEALTH CHAIN INSIGHTS | 10-minute read On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Prior Authorization Final Rule (Final Rule). This rule establishes significant requirements for certain health plans [...]
- Published On: April 1, 2024
Explore how Health Data Management Platforms drive Payer Operations' digital transformation journey, focusing on Real-Time Health Systems and meeting CMS mandates efficiently