Health Chain

The landscape of healthcare data exchange is undergoing a significant transformation. The emergence of standardized datasets such as the United States Core Data for Interoperability (USCDI) has been a major step forward in facilitating seamless information sharing between disparate healthcare IT systems. The #USCDI+ initiative holds immense promise for the future of healthcare data exchange. By fostering collaboration, leveraging technological advancements, and prioritizing data quality, USCDI+ has the potential to transform healthcare delivery across various specializations, including oncology. Health Chain, through its participation in CancerX Moonshot, is at the forefront of this movement, striving to make interoperable data exchange a reality and improve patient outcomes in the fight against cancer. Get more insights into USCDI+ in our latest blog: https://lnkd.in/gPiVNeHy #HealthChain #CancerX #USCDI #Healthplans #clinicaldata #carecoordination

For health plans, data is king. But the true value lies in unlocking its meaning – a challenge that can be addressed with effective interoperability. #Syntactic and #semantic interoperability work together to create a symphony of data exchange in healthcare. While syntactic ensures communication, semantic unlocks the true meaning of the data, allowing health plans to truly take advantage of the data to drive improvements in quality initiatives, cost reduction efforts, provider collaboration, member outcomes – you name it! Health Chain dives into two key aspects of data exchange: syntactic and semantic interoperability - exploring the impact on health plans across the Risk Adjustment, Quality Improvement and Data & Analytics processes - particularly around the cost reduction in the chart retrieval process. We'll also explore how Artificial Intelligence (#AI) and Natural Language Processing (#NLP) play a role in achieving true #healthcareinteroperability Read more here: https://lnkd.in/gFZ7hmnT #Healthchain #Healthcareinteroperability #semanticinteroperability #syntacticinteroperability #riskadjustment #healthplans

The CDI value chain is complicated but optimizable. Payers often face challenges in the clinical data integration process due to legacy systems and processes creating data siloes, requiring custom ETL and data curation processes, and ultimately inhibiting the health plan’s ability to unlock the value this clinical data holds. With the right technology in place, Payers can standardize their approach to clinical data integration, curation and normalization – accelerating any efforts aimed at integrating this clinical data with other types of member data to enable various health plan functions to play a more proactive role with providers and drive better member outcomes. Download the Gartner Report to unlock the full potential of Clinical Data Integration (CDI): https://lnkd.in/gBGvQ8Nv #HealthChain #Clinicaldataintegration #Gartner #CDI #HealthPlans #Datasilos #Payers #Gartnerinsights Sudheen (Sudheendra) Kumar

Join Nikita Ravindran, Product Manager, and Thameem Ansari , CTO, at Health Chain for an exclusive webinar on navigating the exciting world of Real-Time Health Systems! Wondering how Payers can establish Real-Time Health Systems to thrive in the ever-evolving healthcare landscape? Here's what you'll learn: · #Gartner's perspective: Explore how HDMPs represent a pivotal shift towards Real-Time Health Systems, driving digital transformation for Payers. · The #Payer's advantage: Discover how real-time data empowers Payers to expedite prior authorizations, optimize resource allocation, and make timelier decisions. · The #Provider's perspective: Witness how HDMPs provide instant access to consolidated member data, enabling Providers to make informed clinical decisions and enhance care delivery. · A #Member-centric approach: Learn how Members gain immediate access to their health information, fostering transparency and active participation in their healthcare journey. · Meeting CMS mandates: Understand how HDMPs play a crucial role in fulfilling critical mandates: o Prior Authorization API: Streamline prior auth submission and review for faster approvals and timely care delivery. o Patient Access API: Empower members with access to their data to put them at the center of their care journey. o Provider Access API: Guarantee timely access to necessary member information for Providers. o Payer-to-Payer Exchange: Facilitate smooth data exchange and interoperability between Payers. Don't miss this opportunity to unlock the transformative potential of Real-Time Health Systems! Click here to register: https://lnkd.in/gEeJgKyG Space is limited, so reserve your spot now! #Healthchain #HCWebinars #Healthcare #webinar #Payer #RealTimeHealth #HDMP #DigitalTransformation #CMSMandates #Cloud #DataFabric #Standards #MemberEngagement #ProviderEmpowerment

The healthcare landscape is witnessing a significant shift towards data-driven approaches to improve member care while managing costs. A key component of this shift is the Provider Access API - a Centers for Medicare & Medicaid Services mandated, #FHIR-based interoperability API that allows payers to securely make certain member data available to their in-network providers (with member consent). This blog post dives into the intricacies of the #ProviderAccessAPI, exploring its various use cases for payers, with a particular focus on areas like risk management, utilization management, prior authorization, care coordination, value-based care, and quality improvement. Find the blog here: https://lnkd.in/g8BZGJar #HealthChain #Payers #Riskmanagement #qualityimprovement

Join Nikita Ravindran, Product Manager, and Thameem Ansari, CTO, at Health Chain for an exclusive webinar on navigating the exciting world of Real-Time Health Systems! Wondering how Payers can establish Real-Time Health Systems to thrive in the ever-evolving healthcare landscape? Here's what you'll learn: · #Gartner's perspective: Explore how HDMPs represent a pivotal shift towards Real-Time Health Systems, driving digital transformation for Payers. · The #Payer's advantage: Discover how real-time data empowers Payers to expedite prior authorizations, optimize resource allocation, and make timelier decisions. · The #Provider's perspective: Witness how HDMPs provide instant access to consolidated member data, enabling Providers to make informed clinical decisions and enhance care delivery. · A #Member-centric approach: Learn how Members gain immediate access to their health information, fostering transparency and active participation in their healthcare journey. · Meeting CMS mandates: Understand how HDMPs play a crucial role in fulfilling critical mandates: o Prior Authorization API: Streamline prior auth submission and review for faster approvals and timely care delivery. o Patient Access API: Empower members with access to their data to put them at the center of their care journey. o Provider Access API: Guarantee timely access to necessary member information for Providers. o Payer-to-Payer Exchange: Facilitate smooth data exchange and interoperability between Payers. Don't miss this opportunity to unlock the transformative potential of Real-Time Health Systems! Click here to register: https://lnkd.in/gEeJgKyG Space is limited, so reserve your spot now! #Healthchain #HCWebinars #Healthcare #webinar #Payer #RealTimeHealth #HDMP #DigitalTransformation #CMSMandates #Cloud #DataFabric #Standards #MemberEngagement #ProviderEmpowerment

The healthcare landscape is witnessing a growing focus on member data sharing. The Centers for Medicare & Medicaid Services (CMS) has been at the forefront of this discussion, issuing mandates that prioritize member choice through "opt-in" or "opt-out" mechanisms. The shift towards opt-in for member data sharing presents both challenges and opportunities for payers. By working collaboratively with providers, prioritizing member education, and implementing effective strategies to increase opt-in rates, payers can position themselves to leverage the benefits of increased data access. This can lead to improved care coordination, reduced costs, enhanced risk adjustment, and ultimately, a more engaged and satisfied member base. Read the full blog here: https://lnkd.in/g3B44cqe #HealthChain #HCInsights #RiskAdjustment #PatientConsent #CMS #Optin

Join Mason Burr, VP of Strategy, and Nikita Ravindran, Product Manager, at Health Chain for an exclusive webinar that will discuss the Payer-Provider relationship and how Payers can increase collaboration! This insightful webinar will equip you with the knowledge and tools to leverage AI and advanced analytics within Health Data Management Platforms (HDMPs) for unprecedented collaboration across critical areas: · Quality Improvement: Identify and address gaps in care with real-time member profiles, enabling proactive Payer-Provider communication to collaboratively improve member outcomes. · Bi-Directional Data Exchange: Ensure seamless, bi-directional data exchange and a unified understanding of each member’s longitudinal medical history – across encounters, providers, regions, etc. · Member Experience: Personalize member engagements to drive more targeted interventions with closed-loop analytics - empowering providers with real-time insights from data across each members’ care continuum. · Risk Adjustment: Collaboratively predict and manage risk with advanced analytics, leading to faster, more accurate reimbursements for Payer and Provider, while more effectively managing care. · Care Management: Incorporate real-time ADT notifications into members’ longitudinal member records in order to notify relevant stakeholders across the care team of critical events in a members’ care journey. · Prior Authorization + Utilization Management: More effectively manage utilization patterns at both the individual member and population levels to ensure providers have the resources required to provide proper care to your members. Click here to register: https://lnkd.in/gCTtU66z Space is limited, so reserve your spot now! #Healthchain #HCWebinars #Healthcare #webinar #Payer #Provider #Collaboration #AI #Analytics #HDMP #QualityImprovement #MemberExperience #RiskAdjustment #CareManagement #UtilizationManagement

The CDI value chain is complicated but optimizable. Payers often face challenges in the clinical data integration process due to legacy systems and processes creating data siloes, requiring custom ETL and data curation processes, and ultimately inhibiting the health plan’s ability to unlock the value this clinical data holds. With the right technology in place, Payers can standardize their approach to clinical data integration, curation and normalization – accelerating any efforts aimed at integrating this clinical data with other types of member data to enable various health plan functions to play a more proactive role with providers and drive better member outcomes. Download the Gartner Report to unlock the full potential of Clinical Data Integration (CDI): https://lnkd.in/gBGvQ8Nv #HealthChain #Gartner #CDI #HealthPlans #Datasilos #Payers

Siloed member data hinders care coordination, frustrates providers, and ultimately impedes the delivery of optimal member care. Initiatives like the #DaVinci Project's Health Record Exchange (HRex) are emerging to address this critical issue. HRex holds immense potential to transform healthcare data exchange, but successful implementation requires planning and effort. By leveraging existing #USCDI efforts and adopting a phased approach, health plans can unlock the benefits of HRex while minimizing disruption. As the industry embraces interoperability, #HRex paves the way for a future where seamless data flow fosters better #carecoordination and improved health outcomes. Read the full blog here: https://lnkd.in/geHMfkez #Healthchain #HCInsights #Healthplans #Healthcareinteroperability #patientconsent