Build Trust in Digital HEDIS® Results
When Digital HEDIS was first introduced, Payers were required to complete a full year of parallel testing, which included running traditional ...
The Engine Powering Digital HEDIS® and Quality Modernization
For decades, quality measurement has operated on fragmented views: within a Payer enterprise separate teams manage data packets with limited ...
What to Expect on the Digital HEDIS® and Quality Modernization Journey
Payers today are facing increasing pressure to deliver precision higher-quality care at lower cost. Regulations, such as the proposed and final ...
AI for Prior Authorization: The Right Way
Healthcare organizations are increasingly turning to AI-driven solutions to reduce administrative burdens and improve care outcomes across the ...
Unlocking the Power of Scale: Bridging AI and Clinical Intelligence
AI implementation strategies today frequently suffer from a narrow focus, prioritizing speed and cost-reduction for just one or two disjointed ...
Responsible, Reliable and Cost-effective AI at Scale
AI and intelligent automations are frequently presented as a panacea for operational inefficiencies in healthcare today. As adoption ...
Act 6: Quality, Risk Adjustment and Prior Authorization Assessment Guide
Evaluate Current Workflow Fragmentation Across Quality, Risk, and Prior Authorization In last week's video, Dr. Matthew Burton took us through ...
Act 5: Care and Code Correctly the First Time | Smile Digital Health
Quality measurement, risk adjustment, and prior authorization are managed by Payers in silos, by different teams, often using proprietary tools ...
Connected Care Canada: A Vendor Evaluation Checklist for Hospitals
The proposed Connected Care for Canadians Act (Bill S-5) signals a broader shift toward a more connected, interoperable, and patient-centered ...