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data management

Healthcare Interoperability - FHIR
The Various Facets of FHIR

FHIR has taken the healthcare industry by storm. Health plans are rushing to incorporate FHIR into their systems to not just evade penalties but also to attain the end goal…

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healthcare interoperability solutions
Reducing Burden with FHIR APIs – Part 2

With the latest Interoperability and Patient Access rule, the proposals to reduce provider and patient burden, FHIR-based APIs have become the talk of the town.   The latest proposed rule works towards enhancing health information…

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FHIR - healthcare Interoperability
What’s So Great About FHIR? Find Out Here

Affordable healthcare is the need of the hour and interoperability is the means to that end. The healthcare ecosystem is looking into ways they can enable this affordability as soon as possible, and…

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Introduction to FHIR
The Genesis of FHIR

The need for interoperability was first highlighted back in the 1980s when payer organizations had to expand to working with data from more than one system. They needed a foolproof method of…

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Negotiate Provider Contracts
Lost in Provider Management? Here Are a Few Ways Out

In the previous blogs, we’ve covered payment models and the processes involved in provider network management. However, in practical world scenarios, managing a provider network can be tedious and repetitive. In this blog, we shall…

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Provider Network Management in Healthcare
Here’s What You Need to Know About Provider Network Management

Having provider networks is a necessity. This is true for health plans and providers or hospitals, and especially, for the enrolled members. Managing provider networks can be a lot of work. Identifying the providers and hospitals according to the parameters mentioned in…

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Transparency in Coverage Implementation
Here’s How You Can Implement Transparency in Coverage

In the previous blogs, we have defined the Transparency of Coverage rule’s compliance requirements and their corresponding solutions. Now that the expectations from the solution is set, here we are looking at the implementation. Let’s cut straight to it. The implementation approach will depend on various technological factors such as cloud platforms,…

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Transparency in Coverage
Solutions for Transparency in Coverage

The Department’s guidelines on ensuring transparency in coverage are quite elaborate on the context and objective of disclosing information. Our previous blogs outline the disclosure requirements for both the Participants, Beneficiaries, or Enrollees, and the public.…

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