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How payers can execute high-performing interoperability programs to enable clinical data

Learn the key steps, options available, and recommendations for payers to optimize their interoperability programs.

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Interoperability is a crucial element of any high-performing risk adjustment or quality improvement program, enabling payers to rapidly and securely acquire data contained in medical records to support essential functions such as suspecting analytics, medical record coding, and HEDIS® abstraction. But it’s a complex topic that can be challenging for health plans—and is often siloed within the IT department.

Read our new white paper as we define the key steps for payers to build and execute a high-performing interoperability program—offering best practices to consider when working with both internal and external partners.

You’ll learn the critical elements of:

  • Acquiring data from providers and data partners
  • Ingesting data and performing normalization and enrichment
  • Executing data standardization and storage
  • Integrating data with downstream applications

HEDIS® is a registered trademark of the National Committee for Quality Assurance.

About the Author

Katie is responsible for creating an enterprise-wide health data exchange strategy to address our clients’ unique business needs while reducing provider abrasion, maintaining regulatory compliance, and optimizing value. She oversees all initiatives related to digital health data acquisition, ingestion, storage, and normalization, including the expansion of Cotiviti’s electronic health data networks and strategic partnerships. Drawing on her extensive informatics and health information exchange experience, Katie is an advocate for ensuring health information is delivered in a way that enhances the member, provider, and payer experience.

Profile Photo of Katie Devlin, DHSc, MS, CPHIMS