Published On: June 3, 2025HEALTH CHAIN INSIGHTS | 5-minute read Introduction Healthcare payers today face an unprecedented challenge: extracting meaningful insights from disparate data sources containing both structured & unstructured claims, administrative & clinical data. Traditional approaches have created a labyrinth [...]
Published On: May 1, 2025HEALTH CHAIN INSIGHTS | 5-minute read Introduction In today’s data-rich but insight-poor healthcare ecosystem, payers face growing pressure to deliver timely, value-based care while managing administrative complexity. Disconnected systems, fragmented data, and reactive workflows make it difficult [...]
Published On: January 27, 2025CMS 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.
Published On: September 10, 2024Clinical Data Integration (CDI) offers tremendous value for health plans, but it's a complex process with diverse needs at each stage.
Published On: September 10, 2024Boost Medicare reimbursement with accurate risk adjustment! Discover how Health Chain and Gartner’s data-driven CDI unlocks complete data & optimizes coding for maximized revenue.
Published On: August 9, 2024Understanding 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
Published On: May 2, 2024Boost 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!
Published On: April 17, 2024HEALTH 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. [...]
Published On: April 11, 2024HEALTH 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 [...]
Published On: February 27, 2024Understand how Medicare Health Plans are closing care gaps in Member experience by ingesting FHIR data, monitoring HEDIS quality measures and streamlining Payer workflows.
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