Passionate – Dedicated – Professional
Data Fragmentation Is Crippling Healthcare Operations
For payer organizations, fragmented healthcare data isn’t just an inconvenience—it’s an existential threat to operational efficiency and member outcomes. The consequences are felt across the entire organization:
By 2025, the compound annual(1)Where healthcare’s big data actually comes from. https://www.techemergence.com/where-healthcares-big-data-actually-comes-from Clin Chem Lab Med 57: 328-335 (2018). PwC “Driving the Future of Health” (2019). www.strategyand.pwc.com/report/future-of-health. growth rate of data for healthcare will reach 36%
The longer fragmented healthcare data persists in your organization, the more your competitive position erodes. While you struggle with disconnected systems, innovative payers are deploying integrated data environments that enable real-time decision-making, personalized member experiences, and dramatic operational efficiencies. Without a unified data strategy, the gulf between market leaders and laggards will only widen—potentially relegating your organization to permanent disadvantage in an increasingly competitive landscape.
Healthcare data is often trapped in different systems, making it hard for payers, providers, and patients to get the full picture. Health Chain changes that. We bring data together from various sources, organize it into a universal format, and make it securely accessible—empowering better decisions and healthier outcomes.
How It Works: From Data to Impact
Our Tools for Healthcare Transformation
Our Health Data Management Platform provides healthcare organizations with the technology foundation needed to streamline operations, enhance care coordination, and meet regulatory requirements—all while reducing total cost of ownership.
Centaur Data Platform
Collects and standardizes healthcare data from any source into FHIR format, creating complete patient records that serve as a single source of truth.Centaur Data Platform ingests & normalizes CCDAs, HL7 messages, X12s, FHIR data, CSVs, JSONs and many more formats, creating a longitudinal member record using the FHIR standard.
- Automated data normalization with complete observability
- Clinical, Claims & Administrative data integration
- Real-time data processing
- FHIR R4 compliance
HDIG (Health Data & Interoperability Gateway)
Provides the end-to-end ecosystem to activate and manage all FHIR APIs - mandated or not. Enable external Payers, Providers & Members to seamlessly access the required data while applying consent preferences to maintain security.HDIG enables organizations to activate all required FHIR APIs under CMS-0057-F and CMS-9115-F, while also activating custom FHIR APIs for both internal and external consumption.
- Secure API management
- Granular access & consent controls
- Out-of-the-Box Compliance
- Performance monitoring & Usage Analytics
Hyperion™
Health Chain’s Unified Data, Analytics and AI Platform transforms complex healthcare data into actionable insights, enhancing decision-making and patient outcomes.Hyperion™ enables healthcare organizations to leverage the industry-standard Common Data Model(s) of their choice to support real-time analytics on Clinical, Claims & other Healthcare Data Domains.
- FHIR to Relational Conversion
- Flexibility in Data Models
- Custom Data Marts
- Real-Time SQL Analytics
- Automated Data Governance
Our Tools for Healthcare Transformation
Health Chain’s integrated platform provides payer organizations with the technology foundation needed to streamline operations, enhance care coordination, and meet regulatory requirements—all while reducing total cost of ownership.
Why Health Chain Matters to Payer Organizations
Our platform delivers quantifiable benefits that directly impact your organization’s strategic objectives—from operational efficiency to improved member outcomes and regulatory compliance.
Proven ROI for Payer Organizations
83%
Faster identification and closure of care gaps.
98%
Establish accurate risk profiles for new members up to 18 months faster than industry averages3.
41%
Improved HEDIS measure scores with integrated, real-time clinical, claims & administrative data.
$24M
Achieve up to 70% automation of prior authorization request & decisioning workflow4.
Superior Data Quality: The Centaur Advantage
While other solutions merely move data around, Centaur’s proprietary data quality engine ensures your organization makes decisions based on accurate, complete, and consistent information.
Seamless Regulatory Compliance
For payer organizations, meeting CMS interoperability requirements isn’t optional-it’s mandatory. Health Chain’s platform is built from the ground up to ensure complete compliance with minimal effort.
Industry Recognition & Certifications
Gartner® Recognition
Health Chain was named as a Sample Vendor in the Gartner Hype Cycle for U.S. Healthcare Payers, 2024, published July 29, 2024, in two critical categories:
Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation.
What Healthcare Leaders Are Saying
Health Chain’s Centaur platform has completely transformed how we approach data quality. Before implementation, we were drowning in data inconsistencies across our systems. Now, our care management teams have complete confidence in the data they’re using to make critical decisions about member health journeys.
Health Chain’s FHIR-powered platform transformed how we handle member data. We’ve reduced prior authorization processing time by 72% and achieved a 35% improvement in care management outcomes—all while ensuring complete regulatory compliance
Health Chain’s Centaur platform transformed our fragmented data into a unified source of truth. We’ve seen a 40% reduction in processing time and significantly improved our ability to make data-driven decisions.
The FHIR-native ecosystem has revolutionized our interoperability capabilities. We now have seamless access to clean, standardized data across our entire network, improving both provider and member satisfaction.
Since implementing HC Prior Auth Suite, we’ve reduced our authorization processing time by 65% and decreased provider complaints by over 50%. The automation capabilities have been game-changing for our operations.
Health Chain’s risk adjustment solution helped us identify previously missed HCC codes, resulting in a 12% improvement in our risk score accuracy and significant financial impact for our organization.
The Developer Portal has empowered our internal teams to build custom solutions that address our specific needs. The comprehensive documentation and testing environment made integration surprisingly straightforward.
We’ve been able to meet CMS interoperability mandates with minimal disruption thanks to Health Chain’s platform. Their compliance-focused approach saved us countless hours and potential penalties.
The real-time member profiles have transformed our quality improvement initiatives. We can now proactively identify care gaps and implement targeted interventions before issues escalate.
Our Star Ratings improved by 0.5 stars within the first year of implementing Health Chain’s solutions. The ability to monitor performance at the individual measure level has been invaluable.
The data standardization capabilities eliminated our data silos and created a comprehensive view of our members’ health journeys. This has been instrumental in our transition to value-based care models.
Health Chain’s platform reduced our total cost of ownership by consolidating multiple point solutions into one integrated ecosystem. The ROI has exceeded our expectations, with a 30% reduction in IT maintenance costs.
1Where healthcare’s big data actually comes from. https://www.techemergence.com/where-healthcares-big-data-actually-comes-from. Clin Chem Lab Med 57: 328-335 (2018). PwC “Driving the Future of Health” (2019). www.strategyand.pwc.com/report/future-of-health.
2Gartner Top Technology Trends for U.S. Healthcare Payer CIOs in 2025. 28 February 2025.
3What is Risk Adjustment? Available at: https://www.aapc.com/resources/what-is-risk-adjustment. Accessed on March 15th, 2025.
42024 AMA prior authorization physician survey. Available at: 2024 AMA prior authorization physician survey. Accessed on March 15th, 2025.
5The High Cost of Bad Data and Analytics on Strategic Healthcare Decisions Available at: https://sage-growth.com/market-report/the-high-cost-of-bad-data-and-analytics-on-strategic-healthcare-decisions/. Accessed March 15th, 2025.
6Gartner 2023 Business Outcomes of Technology by Use Case Survey. Available at: Gartner.com Accessed on March 15th, 2025.
