by Erin Edwards | Oct 29, 2025 | Fast Focus
As health plans face increasing pressure to improve interoperability, payer-provider data exchange has emerged as a powerful solution. This Fast Focus Brief explores how secure data sharing accelerates quality reporting, streamlines prior authorization, and enhances...
by Brad Hawkins | Aug 25, 2025 | Blog
Healthcare is facing a perfect storm of data challenges. Every day about 10,000 Americans turn 65, driving unprecedented demand for Medicare risk adjustment and value-based care arrangements. Health plans are requesting 20-30% more data year over year from their...
by Brad Hawkins | Jun 9, 2025 | Blog
The Centers for Medicare & Medicaid Services (CMS) has set a bold goal: by 2030, all Medicare beneficiaries and the majority of Medicaid beneficiaries must participate in value-based payment models. This shift represents one of the most ambitious overhauls in U.S....
by Yana Ankudinova | May 15, 2025 | Blog
In the healthcare ecosystem, a payer is any entity – such as a private insurer or government program, that finances or reimburses the cost of health services. Health plans, offered by these payers, provide specific coverage for various medical needs. These plans may...
by Anthony Murray, Chief Interoperability Officer | Apr 24, 2025 | Feature Articles
The HL7 Fast Healthcare Interoperability Resources standard is revolutionizing how clinical data is exchanged across the healthcare ecosystem. The standard offers new and unparalleled opportunities for health plans to enhance interoperability, reduce administrative...
