CMS Announces LEAD, the Next Evolution of ACO REACH. Read More >
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EXCELLENT FOUNDATION

Industry-Leading
Data Integration

Your organization has built a robust data infrastructure that positions you well for value-based care success. The unified data lake and data model you’ve implemented eliminate data silos and create the single source of truth that’s essential for advanced analytics, AI applications, and member-level visibility across all domains.

Your comprehensive connectivity to EHRs, claims systems, HIEs, labs, and pharmacies, combined with full support for HL7, FHIR, and X12 standards, demonstrates operational readiness for complex value-based care arrangements.

Recommended Next Steps

To maintain your advantage, stay ahead of evolving CMS Interoperability Rules and ONC requirements by establishing quarterly reviews of upcoming mandates.

Consider expanding data sources to include emerging types, (such as wearable device data and additional social determinants of health (SDoH), that can enhance predictive capabilities.

As data volumes grow, continuously monitor API performance and explore opportunities to reduce latency further – near-real-time streaming can enable proactive care interventions and immediate claims adjudication.

Quality & Governance

Accurate
Our system automatically checks for and flags duplicate, missing, or inconsistent records, enabling a process for human review.
Complete
We can capture critical datasets from claims, clinical, SDoH, and patient demographics with no information gaps.
Normalized
Our system harmonizes data across multiple file formats and coding systems.
Lineage
We can trace the source of every data point, and any changes to the data.
Transparency
Our AI tools and data capabilities give users the ability to drill into underlying datasets, ensuring transparency and understanding around all data outputs.
Governance
We have a formal data governance body or policy to ensure compliance, stewardship, and ownership.

 

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