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A member is discharged from the hospital. Within the health plan, that single event may affect care management, utilization management, pharmacy, quality, risk, and member outreach. Yet in many organizations, each function still responds through its own reports, work queues, priorities, and timeline...
22 Jul, 2026
Health plans have successfully navigated another year of HEDIS® reporting. But while Measurement Year (MY) 2026 may be complete, the work of preparing for MY 2027 is already underway. The changes introduced in MY 2026 weren't simply incremental updates to quality measures — they reinforced a broader...
8 Jul, 2026
We're proud to announce that Vital Data Technology has achieved NCQA HEDIS® Measure Certification for Measurement Year (MY) 2026, marking our 15th consecutive year of certification. As health plans prepare for another year of evolving quality measurement requirements, this milestone reflects our con...
7 Jul, 2026
The movement toward value-based care has fundamentally altered how healthcare organizations think about intervention. As discussed in our previous article, the industry's focus is increasingly shifting upstream - the "shift-left" imperative. Organizations are seeking to identify risk earlier, engage...
17 Jun, 2026
For years, health plans have invested heavily in programs designed to identify risk, close quality gaps, improve documentation, and ensure payment accuracy. Yet many of these efforts have relied on a fundamentally reactive model — one that attempts to correct issues after the clinical encounter, aft...
10 Jun, 2026
Healthcare organizations are under increasing pressure to modernize. Payers must navigate growing data volumes, evolving regulatory requirements, rising member expectations, and increasing demands for operational efficiency — all while ensuring security, compliance, and interoperability remain uncom...
4 Jun, 2026
Recent Posts
- Beyond Predictive Analytics: Why Health Plans Need an Operating Model for AI
- Preparing for HEDIS® MY 2027: Five Trends Every Health Plan Should Be Planning for Now
- Vital Data Technology Achieves NCQA HEDIS® MY 2026 Certification
- Beyond Silos: Why the Next Generation of Value-Based Care Depends on Integrating UM, Care Management, and Payment Integrity
- The Shift Left Imperative: Why the Future of Value-Based Care Starts Before the Visit
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