The End of Traditional HEDIS® Is Coming: What Payers Need to Know
For decades, HEDIS® reporting has relied on a fragmented and manual process. NCQA would publish narrative specifications for each measure, and ...
Smile Digital Health is the First to Achieve NCQA’s Digital HEDIS Validation
Smile Digital Health Reinforces Commitment to Simplifying Prior Authorization for Millions of Americans
TORONTO, CANADA - June 27, 2025 - Smile Digital Health (Smile), a leading health data platform provider, today reaffirmed its commitment to ...
Understanding the Shift to Digital HEDIS®: Key Terms and Concepts
As NCQA guides the industry toward fully digital quality measurement, it's essential to understand the terminology and what it means for ...
From Mandates to Momentum— a Payer Focused Video Series
With the enforcement date of CMS-0057-F—January 1st 2027—fast approaching, a lot of Payers are attempting to modernize their Prior Auth ...
Are You Ready for CMS-0057-F?
What You Need To Do, By When, and Setting Up Beyond the Mandates
Beyond Compliance: Scale Clinical Intelligence with FHIR® & CQL
As the CMS-0057-F enforcement date draws closer, more and more Payers are interested in how to meet the mandate requirements while ...
Interoperability in Healthcare: More Than Just Data Exchange
How To Architect Integrative IT Systems that Think and Reason, Before They Suggest
Fixing Systemic Prior Authorization Denials
How AI for Deterministic Approaches Can Fix PA Denials A recent survey by the American Medical Association (AMA) revealed a growing concern ...