Data Management & Quality

Reliable Data. Seamless Interoperability. Scalable Impact.

Unlocking the Power of Clean Data for Scalable Outcomes

Health Plans face growing pressure to leverage the abundance of data available to them for better decision-making, compliance, and member outcomes. Yet, data trapped in silos or riddled with inconsistencies can limit the potential to drive real impact.

The Challenges Health Plans Face with Data Infrastructure

Siloed and Disconnected Data Ecosystem

Healthcare data exists across a maze of systems: core administrative processing tools, EHRs, member portals, and external payers and 3rd party organizations. These fragmented silos limit visibility into a unified member record, making it challenging to derive actionable insights or power downstream analytics.

unlocking_full_value_of_interoperability

Barriers to Interoperability and Compliance

With mandates like CMS-0057-F Interoperability and Prior Auth Final Rule for FHIR APIs, interoperability is no longer optional. Yet, legacy systems struggle to connect with modern architectures, creating bottlenecks in data sharing and compliance readiness.

Inconsistent and Unreliable Data

Inconsistent, incomplete, and duplicate records introduce inaccuracies that derail effective decision-making. A lack of visibility into the various data processing pipelines leads to errors that often go undetected until they surface in compliance audits, reporting, or operational workflows

How We Solve Data Management & Quality Challenges

Transforming Data into a Strategic Asset

Our Health Data Management Platform (HDMP) supports clean, reliable, and ready-to-use data that drives impact across all aspects of the care continuum.

Standardizing Disconnected Data Siloes

Our HDMP’s robust data ingestion and processing capabilities enable payers to ingest, process and make diverse data sources and formats available for consumption from one standardized data model—whether that be claims, clinical, administrative or provider data— without the maze of countless custom ETL processes.

Building Trust in Data Quality

Through advanced Data Processing and Data Observability, we detect anomalies, alert Payers to data processing errors, unify disparate data formats in FHIR, and ensure every dataset meets quality benchmarks. The result? Reliable data that fuels accurate reporting, better member engagement, and smarter decision-making.

Powering Compliance and Connectivity

We simplify CMS compliance with a FHIR-native data model to not only support FHIR APIs for bi-directional data exchange, but also establish an enterprise-wide analytics and consumption architecture that empowers all corners of the health plan with the data required to accelerate transformation.

Learn more about our HDMP

Why It Matters

With a FHIR-native Health Data Management Platform, Payers can achieve:

Enhanced compliance with interoperability mandates

Standardized architectural pattern for analytics & data consumption

Reliable data for more targeted and impactful interventions

Scalable infrastructure to enable more real-time engagement in care delivery

Interested in how we address other critical payer challenges?

Achieve Total Data Clarity and Control

Risk Adjustment Precision

Optimize reimbursements with comprehensive, real-time and accurate risk profiles.

Quality Improvement

Improve STAR ratings and HEDIS performance with precision in care gap closure.

Population Health Management

Engage members and providers effectively to manage risk while delivering data-driven care.

Let’s Build a Smarter Data Ecosystem Together

Ready to unlock the full potential of healthcare data? Let’s discuss how we can empower Health Plans with infrastructure that scales and performs.

Schedule a Consultation

Perspectives by Health Chain

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