CDI for Payers
As Healthcare reform continues to evolve, we are seeing an increased emphasis towards value-based care management. A case in point is the emergence of the Center for Medicare & Medicaid Services (CMS) ‘fixed discount’ payment initiatives. Adoption across the payer and health system communities of programs such as Bundled Payment for Care Improvement (BPCI) shows ongoing progression of the initiative to improve care-delivery. However, to achieve any measure of success, it is crucial for the stakeholders, namely payers and their provider networks, to have an integrated and seamless data exchange environment. This has largely been an unresolved challenge in the industry today.
A concerted focus on meaningful care coordination, value based payment structures, and a stronger data exchange between payers and their provider networks are each imperative to achieving care management objectives.
Download our white paper to learn more about how defined “Clinical Data Integration” (CDI) models can help Payers achieve key population health management benefits.