Problems We've Solved
Complying with the Affordable Care Act’s Complex Risk Adjustment Requirements
The health care system was able to control the approach and processes it employed to ensure compliance with CMS’ new Standard Methodology reporting standards for CSR reconciliation – and ensure that this work did not impinge on its regular, ongoing CSR reporting requirements.
Learn more Download PDFHealth System Achieves Data Alignment Breakthrough
The new clinical file extract layout included a variety of new rules, including a data model detailing the data sources and data flow necessary to support the clinical extract.
Learn more Download PDFOvercoming the Challenges of Launching a Clinical Integration Network (CIN)
By developing and implementing a top-tier CIN infrastructure, the health care system positioned itself to more readily achieve its quality, efficiency and cost-reduction goals.
Learn more Download PDFMaximizing Membership Growth through New Open Enrollment Strategy
Equipped with best-practice guidelines for its enrollment facilitation program, the health plan now has a set of repeatable standards and processes to help expand its group health business.
Learn more Download PDFWhen Success Depended on Well-Performing Tech
Both the data center and business productivity implementations proceeded well, enabling the organization to launch its services on-time and meet a critical market timing need.
Learn more Download PDF