Published On: September 10, 2024Ensure HIPAA compliance and safeguard member trust with robust CDI. Download Gartner's guide on how Clinical Data Integration empowers Healthcare Payers to unlock the value of clinical data while maintaining data privacy and security.
Published On: August 9, 2024Understanding the ONC Health IT Certification Program Updates is crucial for US Healthcare Payers. Learn how USCDI v4, SMART App Launch 2.2, and new encryption standards impact your operations. Discover how to navigate these changes and ensure compliance
- 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: 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 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: February 16, 2024
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.
- Published On: March 9, 2023
Brought on by regulatory authorities in an attempt to increase efficiency and interoperability in the healthcare ecosystem, the Prior Authorization (PARRD API) mandate is an initiative designed to improve both the prior authorization process and overall healthcare delivery
- Published On: March 1, 2023
USCDI v4 is a ground breaking advancement of the standardized data elements that aims to revolutionize the healthcare industry by further enriching the data being made interoperable.
Published On: February 23, 2023The Patient Access API mandate may seem like a costly mandate to many payers, but the CMS is indeed effectively pursuing their vision of putting members more in control of their care journey
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