The Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) in January 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. [...]

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 [...]

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 [...]

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

Discover how Healthcare AI and Health Data Management platforms revolutionize Payer-Provider Collaboration, driving Quality Improvement through innovative Data Architecture solutions

Health data fabric solutions become the inflection point, catalyzing the next generation of healthcare data solutions to begin a transformative journey towards agility, insights, and operational excellence in the complex and ever-evolving realm of healthcare data.

In this era of interconnected healthcare, where collaboration is key, the triad of data quality, security, and observability becomes the catalyst for improved healthcare interoperability within Health Data Platforms.

Payers can make an informed choice on Health Data Management platforms with factors such as data acquisition speed, advanced analytics capabilities, regulatory compliance, customization, and interoperability.

Health Data Management Platforms can help Payers digest patient data from all sources to improve STAR ratings, enhance Member care with AI and analytics, and more