Case Studies

Payer compliance deadlines for the CMS Interoperability and Patient Access final rule are fast-approaching. The rule, which CMS hopes will create industry-wide, barrier-free data exchange, will require payers to give patients easier access to their healthcare data as well as implement provider directory APIs that third-party programmers can use to create applications for members. In addition to true data transparency, the rule will help payers leverage data to identify gaps in care, execute timely interventions, and get new insights for population health management.

A leading healthcare system serving more than 2 million patients across nine states recently partnered with Innovaccer to streamline its care management workflows and enhance its population health management strategies.

A leading primary healthcare provider in Florida, New Jersey, Connecticut, and Texas, offers services including patient-centered primary and urgent care to more than 250,000 patients in more than nine value-based contracts.

An Arizona-based health network with more than 30 hospitals, 10,000 providers, and 3 million patients across six states had disconnected electronic health record systems and used various vendors for population health, hospital analytics, risk adjustment, quality reporting, data warehousing, and engagement. The network was spending $15.3 million annually on data management and population health strategies.