Health Chain Suite

Health Chain Suite

Enabling Improved Patient Experience and Outcomes

Health Chain has put together a comprehensive suite of solutions to assist Payers in their digital transformation journey. Connectivity, collaboration and security are fundamental in our commitment to building a more patient-centric healthcare community.

Health Chain Suite
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Patient-Payer-Provider Ecosystem

Patient-Payer-Provider Ecosystem

Healthcare costs continue to grow at an unsustainable rate, reaching 17.7% of Gross Domestic Product in 2018. Research estimates that up to 30% of current spending on health care is wasted.

Lack of interoperability and sharing of information across providers and payers creates inefficiencies and distrust. Patient and provider accountability for health management is limited and has not been institutionalized.

Information sharing between Payers and Providers will allow successful transitions to Value Based Care arrangements and evidence based protocols, improving the patient experience

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Comply with CMS Mandates

Unlock, Standardize and Apply data across processes while meeting CMS interoperability mandates.

CONSOLIDATE AND STORE

CONSOLIDATE AND STORE

CENTAUR DATA PLATFORM

  • Ingest data from multiple sources – Enterprise Data Warehouse, Claims, Clinical, etc.
  • Ingest in multiple formats – CCDA, FHIR, json, xml, etc.
  • Store data in FHIR, CMS-approved format
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EPSILON HCFhir

GET YOUR DATA ANALYTICS-READY

EPSILON HCFhir+

  • Convert your FHIR data to Relational Data
  • Enabling you to run analytics on your data for insights
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HC DEVELOPER PORTAL

WORK WITH 3RD PARTY DEVS

HC DEVELOPER PORTAL

  • Provide white-labelled front end for 3rd party developers to register

  • Give access to Payer APIs as per CMS compliance
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PAYER TO PAYER HUB

CONNECT TO PAYERS

PAYER TO PAYER HUB

  • Access directory of verified Payers and connect at the click of a button
  • Send data to other payers via FHIR APIs and receive FHIR/non FHIR data from Payers.
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Keep Your Efforts Member Centric

OMEGA PATIENT ACCESS APP

ACCESS TO MEDICAL RECORDS

OMEGA PATIENT ACCESS APP

  • Enabling members to access their medical records in one place
  • Bridge the gap in communication between Payer, Patient and Provider
  • Ability to white-label the app
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PREDIXION INSIGHTS

ATTRACT & RETAIN MEMBERS

PREDIXION INSIGHTS

  • Create a consolidated, 360o view of each individual member to be more targeted with engagement strategies

  • Identify the best communication channel for each member in the acquisition and retention process
  • Intuitive reports and analytics to identify and work toward data-driven KPIs
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Rest Assured with Insights Backed with Data

CHIRON VALUE BASED CARE

CLAIM ADJUDICATIONS

CHIRON VALUE BASED CARE

  • Target costs when adjudicating claims based on Quality of Care
  • Aggregating Claims and Clinical data to support data-backed claims adjudication
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RISK ADJUSTMENT

KNOW YOUR MEMBERS

RISK ADJUSTMENT

  • Connect data sources to create and support each member’s RAF score with data
  • Incorporate and analyze clinical data to identify gaps
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Work Efficiently with Providers

PLASMA CLAIMS CONNECT

ELIMINATE CLEARINGHOUSE FEES

PLASMA CLAIMS CONNECT

  • Direct interface for Providers to file MH and BH claims
  • Share digital claims with Payers to expedite claim processing
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HOSPITAL QUALITY PERFORMANCE

MONITOR PROVIDER PERFORMANCE

HOSPITAL QUALITY PERFORMANCE

  • Tool that measures provider performance as per targets set by Payers
  • Improve your health plan’s quality, cost, revenue, and value provided by meeting key objectives
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