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The coming evolution of Centers for Medicare & Medicaid Services (CMS) Star Ratings marks a fundamental change that demands immediate attention from Medicare Advantage (MA) plans. With an increased focus on clinical performance, beneficiary experience, and equitable care outcomes, the upcoming chang...
22 Jan, 2025
Artificial intelligence (AI) has undeniably become a game-changer in various aspects of healthcare, offering unprecedented efficiency and speed. Among its many applications, AI holds significant potential in streamlining the claims denial and prior authorization processes that healthcare payers mana...
14 Jan, 2025
The health payer industry continues to undergo a seismic shift, driven by evolving customer expectations, regulatory demands, and the rapid advancement of technology. For CIOs, 2025 represents a pivotal year to align their strategic priorities with these trends, ensuring their organizations stay com...
30 Dec, 2024
NEWPORT BEACH, Calif., December 10, 2024 – Vital Data Technology, a leading provider of AI-driven health data analytics and medical management solutions for health plans, announced an agreement with Mid-State Health Network (MSHN) to provide predictive data models as part of a grant from the Michiga...
10 Dec, 2024
Interoperability has shifted from being just a compliance requirement to a critical enterprise-wide strategic priority for healthcare payers. According to Gartner’s 2024 U.S. Healthcare Payer Interoperability Benchmarks, advancing interoperability programs is no longer optional—it’s essential for ac...
4 Dec, 2024
The introduction of the 2027 Interoperability and Prior Authorization Rule (CMS-0057-F) by the Centers for Medicare & Medicaid Services (CMS) heralds a pivotal shift in how healthcare payers must operate across the U.S. This transformative policy is set to redefine data sharing and streamline prior ...
14 Nov, 2024
Recent Posts
- Preparing for the Future of Medicare Advantage Star Ratings
- Unlocking the Potential of AI in Streamlining Prior Authorization While Prioritizing Patient Care
- 5 Key Strategic Technology Priorities for Health Payers in 2025
- Vital Data Technology Announces Agreement with Mid-State Health Network to Provide Predictive Models for Mental Health and Substance Use Disorders
- Interoperability as a Strategic Imperative for Healthcare Payers
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