Your Source for Vital News Resources Insights Announcements Education
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
As Medicare Advantage plans lean in to digital transformation, operational efficiency, and AI-driven member engagement, The Centers for Medicare & Medicaid Services (CMS) has made its position abundantly clear: the future of healthcare will be digital, interoperable, consumer-centered, and increasin...
20 May, 2026
Recent Posts
- 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
- Cloud-Native Architecture: The Foundation for Secure, Scalable AI in Health Payer Integration
Archives
Categories
- intelligent automation
- Quality Improvement
- Artificial Intelligence
- Care Management
- Data Science
- AI
- Utilization Management
- HEDIS
- Industry Insight
- Intelligent Prior Authorization
- News
- Population Health
- Healthcare Payer
- Predictive Models
- Risk Adjustment
- Medicare Advantage
- NCQA
- Predictive Analytics
- Prior Authorization
- Agentic AI
- Behavioral Health
- Medicare
- Payer Industry Trends
- Social Determinants of Health
- Value-Based Care
- Appeals & Grievances
- CMS-0057-F
- COVID
- Cloud-Native Platform
- Interoperability
- AI Agents
- AMP Certification
- Care Gaps
- Compliance
- FHIR
- Gen AI
- Insights
- Staffing Ratios
- Star Ratings
- Aii
- CareFlow Intelligence
- Cloud native
- HEDIS Measurement Year 2026
- Integration
- Medical Loss Ratio
- Medical Management
- Member Engagement
- Provider Engagement
- Regulations
- Rules Engine
- TPAs
Subscribe to Our Newsletter
Vital Data Technology is transforming the healthcare ecosystem by empowering healthcare stakeholders with prescriptive insights to improve member health and lower costs. Vital Data Technology leverages embedded, real-time data science, AI, and analytics together to drive intelligent automation through their cloud-based Affinitē platform.
Follow Us
Address
800 Newport Center Drive, Suite 450
Newport Beach, CA 92660