Smile Digital Health
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
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 ...