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Healthcare payers have invested heavily in analytics over the past decade. Many organizations now have predictive models in place to identify rising-risk members, anticipate utilization, and target quality improvement opportunities. Yet despite this progress, a persistent and costly gap remains.
3 Feb, 2026
This reference guide is designed to help health payers plan, execute, and track readiness activties throughout 2026 in preparation for CMS‑0057‑F compliance deadlines in 2026 and full API enforcement in 2027. It can be used as both a program roadmap and a working checklist.
15 Jan, 2026
As we move through 2026, the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) continues to reshape how healthcare payers manage data exchange, utilization management, and transparency. First finalized in 2024, the rule is now transitioning from planning to execution, making this ...
14 Jan, 2026
The healthcare payer sector stands at a crossroads. According to McKinsey’s Perspectives on Healthcare Industry Trends and the Year Ahead, payers are grappling with a convergence of macroeconomic, demographic, regulatory, and technological forces that will define the year ahead. For leaders in this ...
14 Jan, 2026
Health plans are facing mounting pressure to maintain a sustainable Medical Loss Ratio (MLR) — the percentage of premium revenues spent on clinical services and quality improvement. As medical costs outpace premium growth and regulatory requirements evolve, payers must rethink how they manage financ...
16 Dec, 2025
Vital Data Technology is proud to announce that we have been named a sample vendor in Gartner’s November 2025 Market Guide for U.S. Healthcare Payer Care Management Workflow Applications. This recognition underscores our commitment to delivering innovative, AI-enabled solutions that empower health p...
3 Dec, 2025
Recent Posts
- From Insights to Action: Why Predictive Analytics Alone Isn't Enough in Healthcare
- CMS-0057-F: 2026 Payer Readiness Timeline & Checklist
- Navigating the CMS-0057-F Interoperability and Prior Authorization Rule: What Health Payers Need to Know in 2026
- Payer Priorities in 2026: Strategic Resilience Meets Accelerated Transformation
- Navigating the Rising Impact of Medical Loss Ratio and How Payers Can Get Ahead
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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.
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