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  • Digital-Transformation

    Revolutionizing Payer Operations: Real-Time Health Systems and the Digital Transformation Journey

    Published On: April 1, 2024

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

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  • RA-Team-Collaboration

    RADV Final Rule: Focus on PCP-RA Team Collaboration

    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.

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  • End-to-EndCMSCompliance

    Preparing for Mandated 2026 CMS Interoperability Requirements

    Published On: November 27, 2023

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

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  • Health Plans Can Implement Intelligent Prior Authorization (iPA) Platforms Now

    Published On: October 10, 2023

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

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  • EHI_Interoperability

    Future Proofing EHI Interoperability for Payers & Providers

    Published On: July 12, 2023

    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.

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  • The Critical Importance of Longitudinal Patient Records

    Published On: July 8, 2023

    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.

    read more
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