CMS announced the final rule for Medicare Plans for the HCC Risk Adjustment Model for the payment year 2024.Health Chain discusses the notable changes in HCC codes.

Clinical Data Integration (CDI) offers tremendous value for health plans, but it's a complex process with diverse needs at each stage.

Boost Medicare reimbursement with accurate risk adjustment! Discover how Health Chain and Gartner’s data-driven CDI unlocks complete data & optimizes coding for maximized revenue.

Understanding 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

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!

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 [...]

Understand how Medicare Health Plans are closing care gaps in Member experience by ingesting FHIR data, monitoring HEDIS quality measures and streamlining Payer workflows.

Health Chain team delved into use cases for Medicare Health Plan care management teams, showcasing the transformative impact of ADT messages in enhancing Member care.

Medicare Advantage Health plans looking for effective strategies to improve their Star Ratings should start with the “low-hanging fruit” of embracing data accuracy for better clinical outcomes.