Complex healthcare data leads to equally complex data integration issues. This eBook explores how biopharma and healthcare organizations can benefit by integrating data from disparate sources to generate valuable insights by addressing the issues of data fragmentation and low interoperability.

Artificial intelligence (AI) can be a powerful tool for provider organizations that are focused on improving health equity.

ACO REACH, a new payment model from the Centers for Medicare & Medicaid Services (CMS) will replace the current Global and Professional Direct Contracting (GPDC) model on January 1, 2023.

As the government tightens and scrutinizes risk adjustment practices in the future, health plans must align their practice with accurate member diagnosis and treatment

Pediatric health providers—including health systems, pediatric care organizations, and clinically integrated networks—are under increasing financial pressure as a result of the COVID-19 pandemic, a declining birth rate, and increased awareness of health inequities. When you consider the current shift toward value-based care models in healthcare, it's easy to see that pediatric providers will have to adapt and change to flourish in the future. Unlike care for adults, pediatric care strategies require more than just technological interventions to enhance efficiency. This white paper discusses a framework for a new pediatric population health management strategy.

Siloed data continues to hold back health systems from realizing the potential of value-based care, especially when it comes to managing their revenue cycle and improving health outcomes.

Historically, payers have focused on financial risk while providers have dedicated themselves to improving patient health at the encounter level. Both have stayed in their respective silos with little incentive (or the technological ability) to coordinate efforts. However, the dynamic between payers and providers is changing, with recent legislation and the COVID-19 pandemic accelerating that change even further. As a result, health plans have a prime opportunity to adopt technologies that will bridge the gap and emerge as industry innovators.

Value-based contracts have served as the catalyst for improving data exchange. According to a recent Innovaccer survey, around 80% of respondents have at least piloted a value-based care program or taken more definitive steps toward rollout. As more payers and providers enter into these contracts, addressing data integration challenges becomes very important.

It’s estimated that every patient generates close to 80 megabytes of data annually—that’s a lot of potentially useful data. But many healthcare organizations lack the ability to collect all that data in one place and use it to keep patients healthy. In fact, Innovaccer analysts estimate that 99% of today’s healthcare data is wasted.

Nearly a third of all US adults and children require equitable opportunities to experience health and healthcare. Covering more than 86 million Americans, Medicaid is leading the charge to help states improve health equity across populations—through funding that improves the collection and use of SDoH data.