Simplifying Data Integration and Curation
- Ingest, integrate, and curate data from various sources and formats (PDF – patient charts, OCR, CCDA, FHIR, HL7, etc.) directly into your health plan environment.
- Deploy on-premises or on the cloud, maintaining HIPAA compliance and giving you full ownership of your data.
- Streamline data processes, enabling your teams to focus on delivering high-quality care instead of data management.
Find out how Centaur Data Platform can help!.
End-to-End CMS Compliance
- Simplify Patient Access API management and exposure with our Developer Portal, providing a single platform to manage the registration process, testing process and production support
- Monitor the usage and data lineage of your interoperability APIs to ensure complete availability and compliance through evolving requirements of the mandates.
- Centralize endpoint access and permissions management, ensuring secure and controlled data access for internal and external developers.
Find out how HC Developer Portal can help!.
Unlocking Quality Performance Insights
- Gain valuable insights into quality performance data at scale, empowering your quality teams to play a more active role in managing care quality.
- Proactively collaborate with providers to target specific quality measures for improvement and increase quality incentive realization.
- Drive better patient outcomes with data-driven strategies, elevating your organization’s reputation for exceptional healthcare services.
Find out how Hospital Quality Management can help!.
Seamless Onboarding for Enhanced Member Experience
- Accelerate the onboarding process for new members by seamlessly integrating their historical clinical profiles, while meeting CMS Payer-to-Payer Data Exchange mandate
- Expedite establishment of clinical and risk profile; reducing onboarding costs and more quickly optimizing CMS reimbursements
- Immediately implement tailored care plans to provide care continuity and reduce potential for care gaps
Find out how Payer to Payer Hub can help!.
Empowering Business Users with Real-Time Data Access
- Put business users in control with real-time access to all relevant data sources without relying on legacy data request processes.
- Enhance productivity by streamlining access to data from multiple sources – including EDW, CMS, HEDIS vendors, FHIR server, etc.
- Empower data-driven decision-making and responsiveness, fueling efficiency across your organization.
Find out how HC SQLAI can help!.
Delivering Insights from Usable Clinical Data
- Convert FHIR data into a proprietary relational data model, empowering your data and analytics teams with familiar and user-friendly data structures.
- Seamlessly integrate with existing processes and tools, such as PowerBI, for enhanced analytics and reporting capabilities.
- Make data more accessible, allowing your teams to derive valuable insights for better decision-making and improved outcomes.
Find out how Epsilon HCFhir+ can help!.
Automated & Error Free Risk Processes
- Provide risk adjustment teams with access to all relevant data sources (Clinical Data. PDF Charts, Claims, etc.) in one format, attached to individual longitudinal member records.
- Leverage AI + NLP to automatically extract only the most pertinent data for each member, streamlining coding processes.
- Optimize risk management and revenue capture, ensuring accurate and complete documentation and data lineages for CMS reimbursements
Find out how RiskRevPro can help!.
Enabling Data-Driven Outreach Efforts
- Create an integrated lead list with data from across sources, empowering sales and member engagement teams with valuable insights.
- Improve outreach effectiveness, driving patient engagement and loyalty through AI-driven targeted and personalized interactions.
- Enhance growth opportunities and strengthen relationships with members, creating a positive and impactful healthcare experience.
Find out how Predixion Insights can help!.
Why Choose Health Chain?
Build single source of truth - accessible to all users in the organization.
Access mandated FHIR data in formats and structures easy to understand and manipulate.
Seamlessly manage 3rd party APIs in a cost effective and intuitive manner.
Optimize ecosystem with connected data sources and automated processes for timely insights.
Save time and cost while delivering seamless member data onboarding and experiences.
Empower data teams to handle large amounts of data requests from across the organization.
Simplify the risk analytics process to ensure smooth and accurate results.
Eliminate the disconnected data source bottleneck to enable deeper insight-driven sales workflows
Perspectives by Health Chain
Read insights from Our Data Analytics Persona
Upcoming Webinars
Mark your calendars for our upcoming webinars – discussing how Payers are implementing digital platforms to better integrate data across business units. Choose an area of focus below:
Unlocking Transformation: Journey from Monolithic Legacy Solutions to a Universal Data Layer
November 16th 2023, 11am PST
By enhancing data fluidity, fortifying adaptability and unlocking the potential of cutting-edge technologies, Digital Healthcare Payer Platforms propel Payers towards a more agile, efficient and patient-centric future. DHPP illustrates the future state of Payer organizations:
- Centralized data architecture fosters seamless integration and data flow across various departments, eradicating silos that hinder collaboration and efficient decision-making.
- Real-time data access and analytics empower the organization to make informed decisions promptly, enhancing customer experiences and optimizing cost management.
- Transforms Payer organizations into proactive entities, capable of anticipating patient needs and increasing their role in collaboratively managing care with providers.
Digital Healthcare Payer Platform to Better Understand ICP (Ideal Customer Profile)
September 5th 2023, 11am PST
A Digital Healthcare Payer Platform offers an invaluable avenue to delve into the intricacies of a Health Plan’s Ideal Customer Profile (ICP). By leveraging advanced data analytics and machine learning, Payers can:
- Analyze historical leads and sales data to identify acquisition and conversion trends to drive tailored outreach strategies.
- Leverage AI-driven insights to prioritize member acquisition campaigns and efforts.
- Identify the right prospects for the right insurance product based on population-level trends.
Digital Healthcare Payer Platforms Enable Improved Digital Experiences for Members
September 20th 2023, 11am PST
Digital healthcare payer platforms have revolutionized the way health plans create tailored member experiences and healthcare services. Payers can:
- Consolidated view of historical claims data, utilization patterns and member behaviors to drive white-glove experience.
- Facilitate real-time monitoring of member encounters, providing insights into preferences, engagement levels and potential for care gaps.
- Allow Members to navigate their care journeys effortlessly by making informed + collaborative decisions to launch tailored care on-demand services.
What Data Do Risk Adjustment Teams Need to Access to Reduce Provider Burden?
October 18th 2023, 11am PST
Integrating diverse data sources empowers Risk Adjustment teams to streamline operations, reduce redundancy and relieve providers from excessive documentation demands – ultimately enabling more impactful retrospective and prospective risk programs. A comprehensive Digital Healthcare Payer Platforms allows for Risk teams to unlock, integrate and adeptly apply insights sourced from a triad of vital data streams integrated into one longitudinal member view:
- extracts comprehensive patient clinical profiles, ensuring a holistic understanding of each individual’s health status in real-time.
- PDF Charts: provides granular clinical details, enabling nuanced risk assessment while providing documentation to support audits.
- Claims Data: offers a side-by-side comparison of real-time clinical profiles with the claims being submitted by providers to ensure payer-provider alignment.
Personalizing Care: A Clinically-Oriented Data Approach for Payer Quality Organizations
October 3rd 2023, 11am PST
The synergy of technology and healthcare expertise propels Payer Quality teams to deliver a higher standard of care, transforming the healthcare landscape into a more personalized and effective experience for patients. Digital Healthcare Payer Platforms help Quality teams to:
- Gain deep insights into patient health profiles, treatment histories and risk factors.
- Ensure early identification of health issues, tailored intervention strategies and optimized care coordination.
- Bridge the gap between Payers and Providers for improved patient outcomes with both population and individual member-level quality analytics.
Maintaining Data Governance Through Digital Transformation
November 2nd 2023, 11am PST
As the healthcare industry undergoes rapid digitization, ensuring the integrity, security and accessibility of sensitive patient data becomes a critical concern. In a landscape where data breaches loom large, these Digital Healthcare Payer Platforms emerge as sentinels of trust, fortifying the healthcare ecosystem for a secure and interconnected future.
- From streamlining claims processing to optimizing patient-provider interactions, these platforms not only enhance operational efficiency but also safeguard patient privacy through robust data observability frameworks.
- By seamlessly integrating data management, analytics and compliance measures, DHPPs empower Payers to navigate the complexities of digital transformation while maintaining the highest standards of data governance.
