HEALTH CHAIN CASE STUDIES

Health Data Platform-as-a-Service for Processing Admit, Discharge, Transfer (ADT) Messages

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Omega Patient Access App

Reducing readmissions by proactively managing the discharge process presents a significant opportunity to improve Star ratings for MA plans. Studies indicate the 30- day readmission rate for Medicare Advantage plans ranges from 3% to 24%^.

Health Chain is assisting several BCBS clients with transformational technology projects focused on supporting the ADT/CDE initiative, as part of the wider Blue Card Modernization effort, by providing an extensible platform that facilitates the journey toward seamless clinical data exchange.

In this case study you will find:

  • Details on the actual cost of Hospital Readmission Rates in Medicare
  • Detailed case for ingesting Admit, Discharge, Transfer (ADT) messages

  • Health Chain’s proprietary FHIR-Enabled ADT Message Processing framework

  • Key improvements and benefits we see for forward-looking Health Plans willing to invest in infrastructure to ingest ADT messages

References:

^Jung DH et al Likelihood of hospital readmission in Medicare Advantage and Fee-For-Service within same hospital. Health Serv Res. 2020 Aug;55(4):587-595.
++AHQR STATISTICAL BRIEF #278
~ AHQR STATISTICAL BRIEF #72

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Health Data Platform-as-a-Service for Processing Admit, Discharge, Transfer (ADT) Messages

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