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Newport Beach, Calif., July 15, 2025 – Vital Data Technology, a leader in health data analytics and medical management solutions for health plans, has announced that its Affinitē® platform has once again earned NCQA Certified Measures® status for the Healthcare Effectiveness Data and Information Set...
15 Jul, 2025
The transition from fee-for-service models to value-based care (VBC) represents a major shift in the healthcare industry, requiring payers and providers to prioritize quality outcomes and cost efficiency. According to recent research from Gartner, "AI in Value-Based Care: Part 1 Roadmap Planning for...
9 Jul, 2025
Prior authorization (PA) processes have traditionally been a pain point in healthcare, often leading to delays in care, administrative burdens, and frustration for both patients and providers. Recognizing the need for improvement, health plans across the country have committed to streamlining and si...
23 Jun, 2025
Behavioral health is an integral component of comprehensive healthcare, yet the sector continues to face unique challenges that demand thoughtful solutions. From navigating complex regulatory requirements to integrating cutting-edge technologies, behavioral health payers are under constant pressure ...
4 Jun, 2025
The Centers for Medicare & Medicaid Services (CMS) is in the early stages of exploring reforms aimed at creating more uniform prior authorization policies across health insurance plans. Among the innovations being considered is the incorporation of automation into coverage determinations, a developm...
20 May, 2025
Population Health Management (PHM) has emerged as an essential strategy in healthcare, empowering organizations to improve outcomes and reduce costs while catering to the unique needs of diverse populations. Health plans aiming to meet these increasing demands are turning toward NCQA prevalidated ve...
30 Apr, 2025