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Essential Steps for Health Plans to Prepare for the Next Era of Quality Measurement The National Committee for Quality Assurance (NCQA) has outlined key proposals for HEDIS Measurement Year (MY) 2026, continuing its push toward a fully digital reporting framework by 2030. These changes reflect a com...
23 Jul, 2025
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
Recent Posts
- Get Ready for HEDIS Measurement Year 2026: Navigating Transformative Updates
- Vital Data Technology Achieves NCQA Certification for HEDIS® Measurement Year 2025
- AI in Value-Based Care: Unlocking New Possibilities for Healthcare Payers
- Simplifying Prior Authorization with Technology and Innovation
- How AI is Advancing Behavioral Health in 2025: Integration, Efficiency, and Whole-Person Care
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