TriZetto Healthcare Products’ Post

Attending RISE WEST 2024 in Colorado Springs? If so, please join Cognizant at 8 AM on Friday, September 13 in the main exhibit hall for an interactive roundtable discussion on “Digital health maturity with operational excellence.” In this session, our government programs expert will discuss the need for operational excellence across data, analytics, APIs and value-based care to address the following: • Dismantling organizational silos to achieve strategic alignment • Addressing health disparities through modifications in star scoring and incorporating the Health Equity Index Factor • Implementing best practices for Electronic Clinical Data Systems (ECDS) reporting to enhance data collection and accuracy from disparate data sources • Developing innovative solutions for efficient HEDIS and Risk Adjustment chart abstraction • Strengthening payer-provider relationships for value-based contracting • Using a point-of-care tool to highlight the benefits of bi-directional data exchange between payers and providers for enhanced clinical decision-making To learn more about our Government and Quality Solutions, read our ebook. #GovernmentHealthcare #RISE #TriZetto Cognizant https://lnkd.in/eGgKz8ca

Attending RISE WEST 2024 in Colorado Springs? If so, please join Cognizant at 8 AM on Friday, September 13 in the main exhibit hall for an interactive roundtable discussion on “Digital health maturity with operational excellence.” In this session, our government programs expert will discuss the need for operational excellence across data, analytics, APIs and value-based care to address the following: • Dismantling organizational silos to achieve strategic alignment • Addressing health disparities through modifications in star scoring and incorporating the Health Equity Index Factor • Implementing best practices for Electronic Clinical Data Systems (ECDS) reporting to enhance data collection and accuracy from disparate data sources • Developing innovative solutions for efficient HEDIS and Risk Adjustment chart abstraction • Strengthening payer-provider relationships for value-based contracting • Using a point-of-care tool to highlight the benefits of bi-directional data exchange between payers and providers for enhanced clinical decision-making To learn more about our Government and Quality Solutions, read our ebook. #GovernmentHealthcare #RISE #TriZetto Cognizant https://lnkd.in/eGgKz8ca

Payers implemented HL7 FHIR to check a box for CMS mandates but more FHIR-based mandates are soon to come. Now is the time to reconsider how #fhir was implemented and being used. Check out Gartner’s Hype Cycle and see how Smile’s health data fabric and FHIR-native solutions for clinical data exchange and analytics are ahead of the curve. #betterglobalhealth

In a recent op-ed for Healthcare Business Today, VP of Data Strategy, Ashay Thakur, explains how data interoperability is crucial for driving value-based care and improving patient outcomes.     Payers and providers operating on outdated systems fail to communicate effectively which compounds issues. Adopting enterprise data management systems with enhanced interoperability capabilities offers several key benefits to help overcome these challenges.     Read here: https://bit.ly/3ZZNgiu    #data #datainteroperability #healthcaredata #valuebasedcare #vbc  

FHIR® APIs are required to meet the new CMS-0057-F mandate for data exchange and prior authorization. But they can be used for so much more and to maximize that potential, you need a partner who is an expert. In the 2024 Gartner® Hype Cycle™ for U.S. Healthcare Payers, FHIR APIs are noted for their business impacts by “establishing standards-based information usage that improves collaboration and workflow integration,” and “decreasing time to value for data-sharing initiatives.” Smile Digital Health, named a Sample Vendor in the report for FHIR® APIs, is here to help. Learn about how Smile’s CMS Suite and FHIR APIs keep you compliant while also supporting your data modernization efforts: https://lnkd.in/gtWZG7zB Access your complimentary copy of the Gartner® report here: https://lnkd.in/ghDGvjUA #Gartner #FHIR #CMS0057F

Clinical Data Integration (CDI) contributes to quality measure improvements by “improving revenue related to the Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare Star ratings,” according to the 2023 Gartner® Hype Cycle™ for U.S. Healthcare Payers. Smile Digital Health was named as a Sample Vendor for CDI in the report. Get your complimentary copy of the report and connect with us to explore how our innovative digital Quality Measures Solution uses CDI to give your clinical data superpowers, enabling you to prevent rather than react to negative events. Get it here: https://bit.ly/48T7Kur #Gartner #CDI #FHIRAPI

Is Clinical Data Integration (CDI) on your list of priorities for 2024? The 2023 Gartner® Hype Cycle™ for U.S. Healthcare Payers outlines some important CDI recommendations for payers to consider when looking to reduce costs by improving their administrative efficiency, care coordination and creating better provider/partner alignment. Smile Digital Health has been named as a Sample Vendor for CDI in the report. You can get a complimentary copy of the Gartner® report and read up on all the recommendations and business impacts here: https://bit.ly/42WmaZh Then reach out to us to see how we can help. #Gartner #interoperability #CDI

#Valuesets are fundamental for #healthcare data management, impacting #clinical, operational, and financial domains. This article discusses their importance and the challenges of managing value sets through in-house or open-source methods and highlights how IMO Health Precision Sets offer a transformative solution. These sets provide a comprehensive approach to managing complex healthcare data needs by enhancing data quality and workflow efficiency. Learn more about the innovative strategies and opportunities in this field. https://bit.ly/4bT1oMX

Between 3% and 7% of all healthcare claims are paid inaccurately—and only a fraction of these claims’ payments are later corrected, according to Gartner®. With rising complexity in claims due to pandemic-era policy changes and advancements in virtual care, sophisticated Payment Integrity (PPI) solutions are more crucial than ever. Embracing advanced PPI solutions, including social analytics and AI, can significantly improve claim accuracy and efficiency. Read the report to learn Gartner strategies for success.

OUR ANNUAL INDUSTRY TREND REPORT IS NOW AVAILABLE! This report analyzes key national and state-level trends as part of our commitment to advancing industry-wide performance visibility. Topics covered include: 👉 Medicare Advantage (MA) enrollment 👉 Discharge instructions 👉 Utilization rates 👉 And more! Additionally, we've deepened our analysis with: 📈 Expanded state-level data for a granular view of local market trends and performance. 👀 Insights from industry leaders on critical themes such as staffing shortages, Medicare Advantage, and technology's role in healthcare. 👩⚕️ Special section on staffing trends. Explore Healthcare Cost Report Information System (HCRIS) data highlighting ongoing staffing challenges in post-acute care. Use this comprehensive report to enhance your strategic planning, gain a competitive advantage, and stay ahead of the curve. 💪 At Trella Health, we believe in the transformative power of data in healthcare. Download your copy here. 👉 https://buff.ly/4f6f0Hc