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Health Information and Interoperability

Client-Focused Leadership Skills

  • Demystifying the Maze: A Deep Dive into the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) for Health Plans

    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.

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  • TEFCA

    Beyond the Buzzwords: Putting Interoperability to Work in Healthcare – A TEFCA-Powered Future

    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. [...]

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  • Interoperability-in-Healthcare

    Making Data Sing: Understanding Semantic vs. Syntactic Interoperability in Healthcare

    Published On: April 11, 2024

    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 [...]

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  • Guide-for-Health-Plans

    Reviewing the CMS Interoperability and Prior Authorization Final Rule: A Guide for Health Plans

    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 [...]

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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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  • Payer-and-Provider-Collaboration

    Revolutionizing Payer and Provider Collaboration: AI and Advanced Analytics with Health Data Management Platforms

    Published On: March 19, 2024

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

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  • Transforming Payer Operations: Decoding Health Data Fabric’s Impact on Data Integration, Member Engagement, and Quality Reporting

    Published On: March 5, 2024

    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.

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  • Healthcare-Interoperability

    Pioneering Healthcare Interoperability: The Power Trio of FHIR-Compliant Health Data Management Platforms

    Published On: February 29, 2024

    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.

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  • Health-Data-Management

    Navigating the Future: Strategic Considerations for Payers in Choosing the Ideal Health Data Management Platform

    Published On: February 21, 2024

    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.

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  • Healthcare-Delivery-Excellence

    Unleashing the Power of Health Data Management Platforms for Healthcare Delivery Excellence

    Published On: February 17, 2024

    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

    read more
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