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  • Has Your Medicare Advantage Plan Taken These 3 Steps to Prepare For 2024 HCC Risk Adjustment Changes?

    Published On: January 27, 2025

    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.

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  • Healthcare-Data

    USCDI+: Expanding the Horizons of Interoperable Healthcare Data

    Published On: July 8, 2024

    USCDI+ builds on USCDI for broader healthcare data exchange. Explore how USCDI+ extensions improve care coordination, public health, and cancer research. Learn about data quality and CancerX - a USCDI+ implementation case study.

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  • Provider-Collaboration

    The Provider Access API: Powering Provider Collaboration in Risk Management, Care Coordination, and More

    Published On: July 1, 2024

    Unlock the power of Provider Access API for payers. Explore use cases for risk adjustment, care coordination, value-based care, and improve collaboration with providers. Learn how to leverage data sharing for better member outcomes.

    read more
  • Member-Data-Sharing

    Opt-In vs. Opt-Out: Navigating the Nuances of CMS Mandates in Member Data Sharing

    Published On: June 24, 2024

    CMS mandates prioritize member opt-in for healthcare data sharing. Explore challenges and opportunities for payers under Interoperability and Patient Access and Information Blocking rules. Learn strategies to increase opt-in rates and improve care coordination.

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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

    read more
  • Health-Plans

    The Ultimate Checklist for Health Plans to Close Care Gaps

    Published On: February 27, 2024

    Understand 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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  • Unlocking-Point-of-Care-Insights

    Unlocking Point-of-Care Insights: ADT Messages Decoded

    Published On: February 1, 2024

    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.

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  • Ingesting-ADT-Data

    Health Plans Can Reduce PPR by Ingesting ADT Data

    Published On: January 14, 2024

    Discussing the importance of Health Plans ingesting ADT messages to reduce potentially preventable readmissions (PPR) in the Medicare population Members with a data platform.

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  • Medicare-Advantage-Members

    Removing the #1 Roadblock to Delivering Better Quality Care to Medicare Advantage Members

    Published On: January 10, 2024

    Health Chain highlights roadblocks for Medicare Advantage Plans when trying to optimize risk adjustment, member engagement and care quality processes.

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  • patienttransparency

    How Health Data Technology Can Reduce Hospital Readmission Rates and Improve CMS Star Ratings

    Published On: January 1, 2024

    Health Chain helps improve readmission rate through comprehensive, longitudinal patient records, ADT data, and enriched and curated heath data accessible to health plans to meet CMS requirements.

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Mid-Western BCBS Health Plan Takes a FHIR-First Approach to Clinical Data Exchange with Health Chain

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