Reliable Data. Seamless Interoperability. Scalable Impact.

Where clean data meets impactful outcomes.

For Health Plans, every decision depends on data quality. Fragmented, inconsistent, or incomplete data creates barriers instead of opportunities. Harness data’s full potential to boost quality, reduce costs, and improve member outcomes.

payers

Disconnected Data Leads to Below Average Outcomes

Identifying the root cause of below average outcomes can be challenging. However, the starting point should always be the quality and usability of data the organization has access to.

Data You Can Trust
The Problem:

Data ecosystems are sprawling, with claims, EHRs, lab results, and more flowing in from countless sources, often in different formats. This fragmentation leads to insight gaps, decision-making delays, and missed opportunities to better serve members.

The Problem:

Risk adjustment accuracy is critical to financial performance. Incomplete member records, missed coding gaps, and inconsistent documentation workflows leave millions in reimbursements untapped and, most importantly, can compromise member health

The Problem:

Falling short on Star ratings and HEDIS benchmarks doesn’t just affect incentives—it erodes member trust and competitiveness. But tackling care gaps, tracking quality measures, and coordinating interventions is impossible without access to real-time, reliable data.

The Problem:

Understanding population risks and needs is challenging when data is fragmented, inaccurate, or incomplete. Without clear insights, it’s harder to manage care coordination, address social determinants, and engage members effectively.

The Problem:

Escalating medical loss ratios (MLR) and overutilization drive up costs, making it harder to balance affordability with quality care. Without visibility into utilization patterns & each members’ longitudinal health history, identifying inefficiencies, coordinating the right care plan and managing costs becomes guesswork.

The Problem:

CMS mandates like the interoperability and prior authorization final rule (CMS-0057-F) require Health Plans to facilitate real-time, secure data sharing. Falling behind puts member satisfaction, organizational reputation, and compliance at risk.

Data You Can Trust
The Fix:

A robust data ecosystem ingests, curates, and normalizes information from all sources and formats, ensuring accuracy, consistency, and usability. Clean data forms the foundation for care management, quality improvement, interoperability, and analytics. Systems and teams can collaborate seamlessly, making decisions based on a single source of truth.

flowing-data-analysis
The Fix:

Clean, curated data powers precise risk adjustment, early coding gap identification, seamless documentation, and payer-provider collaboration. The result: optimized reimbursements, fewer denials, and better risk management for members and Health Plans.

Health-Plans
The Fix:

Health Plans need accurate, timely data to identify care gaps, monitor quality, and drive member interventions with providers. Turning raw data into actionable insights empowers teams to target high-impact measures, improve Star ratings, achieve HEDIS targets, and boost member satisfaction. Every gap closed brings progress toward excellence.

care coordination
The Fix:

Clean data enables smarter population health strategies. From risk stratification and care coordination to proactive engagement, actionable insights help Payers tailor interventions to each member’s needs, improving outcomes, reducing disparities, and delivering meaningful value—one member at a time.

cost control
The Fix:

Gain real-time insights into utilization trends and member care journeys with clean, reliable data. By identifying patterns, collaborating with providers, and preventing unnecessary denials, Health Plans can optimize resources, control costs, and ensure timely, quality care for members.

CMS
The Fix:

Ensure seamless adherence to CMS mandates with a data foundation supporting HL7® FHIR® standards. Real-time, bi-directional data exchange with healthcare stakeholders and member access to health information help Payers meet regulatory requirements effortlessly. Stay compliant, competitive, and confident.

Why Clean Data Matters

  • Clean data enables Payers to make informed decisions that improve member outcomes and drive operational efficiency.
  • Transforms fragmented information into actionable insights, optimizing care delivery and reducing costs.
  • Streamlines care coordination, enhancing collaboration and improving efficiency across the care continuum.
  • Drives proactive member engagement, ensuring higher quality performance and compliance with healthcare mandates.

Why Clean Data Matters

payer_connection

Enables Payers to make informed decisions that improve member outcomes and drive operational efficiency.

OptimizedCost

Transforms fragmented information into actionable insights, optimizing care delivery and reducing
costs.

Streamlines care coordination, enhancing collaboration and improving efficiency across the care continuum.

Drives proactive member engagement, ensuring higher quality performance and compliance with healthcare mandates.

Ready to Transform Healthcare Data?

Our Health Data Management Platform is more than just an ETL tool—it’s a game-changer for healthcare organizations. With its out-of-the-box data ingestion pipelines and powerful data transformation capabilities, Centaur™ accelerates data accessibility and time-to-value. Data is no longer fragmented or siloed, but accessible, actionable, and ready to drive meaningful impact in healthcare.

Explore Problems We Help Payers Solve

Problems We Solve
Data Management & Quality
Problems We Solve
Maximizing Risk Adjustment
Health-Management
Problems We Solve
Population Health Management
Quality-Performance
Problems We Solve
Quality
Improvement