Payer Provider Collaboration with FHIR
Many health information technology (HIT) leaders believe FHIR® – Fast Healthcare Interoperability Resources (hl7.org/fhir) is the standard that we need to accelerate interoperable health records.
Solution Brief
Resources
Scaling Value-Based Reimbursement Programs
Health plans and ACOs alike have struggled with bringing program automation, stakeholder visibility and scalability to their VBR programs. To resolve these challenges health plans must evolve their programs from legacy, spreadsheet-based administration backed by stagnant data and outdated analytics. View this recording and learn how to bring your VBR programs out of the dark.
Webinar
A Single System for Encounter Management It is Time for ACTion
The foundation of any encounter management system comes down to ACT Accuracy, Completeness and Timeliness. Health plans, if your encounter management lifecycle (technology and processes) does not deliver on these three aspects, then it is operating inefficiently. And for those plans involved in more than one managed care line of business, the level of inefficiency becomes multiplied.
Webinar
Creating Your Marketplace 2.0 Success Blueprint
How ready is your organization to manage Marketplace 2.0 changes, maintain Marketplace revenue integrity and increase your market footprint? If there is any doubt, then you should view this webinar titled “Creating Your Marketplace 2.0 Success Blueprint.”
Webinar
CAQH CORE Users – Phase IV Quick Start V-1.2
User Quick Start Guide For the Edifecs Phase IV CAQH CORE Voluntary Certification Testing System
Solution Brief
Edifecs Collaborative Testing
Reduce Risk and Costs with Partner-Centric Testing:With the rapidly increasing shift from volume-based
healthcare to value-based reimbursement and care
delivery models, health plans are deploying new programs
and requesting more data from providers
Data Sheet
XEngine Server Manager
In a typical health plan’s IT production environment, multiple servers and services process millions of data files that continuously move into and out of the enterprise.
Data Sheet
Investing in Infrastructure Pays Off for One Health Plan
The health plan's existing infrastructure configuration wasn’t flexible enough to handle new business and to adjust to the changing healthcare industry.
Case Study
Leveraging Interoperability for Population Health Partnerships
Health systems around the nation are pursuing accountability by forming partnerships with private payers to evolve from fee-for-service payment models to new value-driven models.
White Paper
CORE Users – Quick Start Guide (Phase III)
User Quick Start Guide for the Edifecs CORE Certification Phase III Testing System
Solution Brief
CORE Users – Quick Start Guide (Phase II)
User Quick Start Guide for the Edifecs CORE Certification Phase II Testing System
Solution Brief