Explore how Health Data Management Platforms drive Payer Operations' digital transformation journey, focusing on Real-Time Health Systems and meeting CMS mandates efficiently

Health Chain breaks down the RADV compliance and talks about how Medicare Health Plan Risk Adjustment teams can improve HCC coding by collaborating with Primary Care Physicians.

Health Chain showcases requirements for Medicare Plans to improve STAR Ratings with better member experiences

Gartner recognised iPA product - HC Prior Authorization - helps Payers transition from legacy systems to achieve healthcare interoperability.

Care-delivery partners must work together effectively consolidate, update and seamlessly share data between patients, providers and payers. The adoption of CMS standards, and advancement towards the ideal end-state vision is progressing, albeit unevenly, in the provider and payer ecosystem.

Health plans can build comprehensive longitudinal member health records and advance the digital transformation of health care by using FHIR-driven APIs that are integrated with leading EMR systems, health information exchange and patient access apps.