11 Jun Why Health Plans Are Shifting Focus from Data Exchange to Data Intelligence
Top Takeaways • Health plans are increasingly focused on maximizing the value of existing health IT investments. • Interoperability remains important, but organizations now need data that is trusted, usable, and actionable. • Health plans are moving from experimentation to operationalization as AI becomes embedded into workflows such as risk adjustment, claims, and utilization management. • Provider data quality challenges continue to impact operational efficiency, member experience, and reporting accuracy. • Quality, Stars, HEDIS, CAHPS, risk adjustment, and care management...
