Removing the #1 Roadblock to Delivering Better Quality Care to Medicare Advantage Members

HEALTH CHAIN INSIGHTS

Removing the #1 Roadblock to Delivering Better Quality Care to Medicare Advantage Members

January 10, 2024 | 2-minute read

Medicare Advantage Members

Payers now have tools like Health Chain’s HC Prior Authorization solution to eliminate cumbersome prior authorization processes hampered by legacy systems and health data interoperability challenges. The use of iPAs are a big opportunity for healthcare delivery improvement.

According to Gartner® in the 2023 Market Guide for Intelligent Prior Authorization, U.S. Healthcare Organizations, “ Yet, even though federal and state regulation push for technology modernization and interoperability to advance PA automation, significant opportunity for improvement remains as payers and providers lag in iPA adoption.”

Health Chain was recently recognized as a Representative Vendor in the 2023 Gartner® Market Guide for Intelligent Prior Authorization, U.S. Healthcare Organizations. To learn more about or platform and solutions, connect with either CEO - Sudheen Kumar or VP of Strategy - Mason Burr during the HLTH conference October 8th to 11th.

Gartner, Market Guide for Intelligent Prior Authorization, U.S. Healthcare Organizations, Connie Salgy, Laura Craft, Mandi Bishop, 2 October 2023.

GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally and is used herein with permission. All rights reserved. Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

Health Plan Team Benefit From Improved Data Access
Care Quality team Optimized clinical interventions by taking advantage of information that is updated in real time
Member Engagement Transformed member experience through better personalized communications reflecting accurate, updated information
Risk Management Improve RAF score accuracy + close risk gaps by incorporating more complete, more comprehensive member HCC information

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