The clock is ticking on CMS-0057-F compliance, with the January 1, 2027 deadline fast approaching. Health plans face significant challenges - from managing new prior authorization deadlines to implementing advanced FHIR-based APIs for seamless data sharing. By preparing now, your organization can not only meet compliance milestones, but also enhance efficiency, transparency, and patient outcomes. Discover how Vital Data Technology's tailored solutions simplify workflows, ensure data accuracy, and help you stay ahead of regulatory requirements ?? https://bit.ly/4kJYeRm #CMS0057F #HealthPlans #PriorAuthorization #UtilizationManagement #HealthPayer
Vital Data Technology
IT 服务与咨询
Newport Beach，California 3,401 位关注者
Right Information. Right People. Right Time.
关于我们
Vital Data Technology is transforming the healthcare ecosystem by empowering healthcare stakeholders with prescriptive insights to improve member health and lower costs.?We enable health plans to make faster and better decisions about member health with a dynamic, real-time analytics platform called Affinitē. Affinitē?is an intelligent medical management platform for health payers that marries analytics with execution for a best-in-class solution.? This solution?leverages embedded, real-time data science, AI, and analytics to drive intelligent automation through our cloud-based platform. Affinitē connects all data sources to align quality, risk, utilization management, care management, and appeals and grievances solutions, acting as a single source of truth for all healthcare information. In this way, all healthcare stakeholders can coordinate more efficient care interventions with a true 360-degree view of the member. Our robust technology framework and solution suite are the key to addressing a wide range of payer pain points, including population health, value-based care, payer-provider alignment, member engagement, intelligent prior authorization, and other key payer initiatives. We are committed to helping payers and their stakeholders navigate these challenges and pave the way for a more efficient and effective healthcare system. ? The heart of our platform?is?the?advanced analytics and predictive?data science models built into each solution. These offer real-time prescriptive insights driving proactive member outreach,?all delivered through?intelligent automation.
- 网站
-
https://www.vitaldatatechnology.com
Vital Data Technology的外部链接
- 所属行业
- IT 服务与咨询
- 规模
- 51-200 人
- 总部
- Newport Beach，California
- 类型
- 私人持股
- 创立
- 2005
- 领域
- HEDIS、Care Coordination、Patient Engagement、AI and ML Analytics、HCC Risk Adjustment、HCC、Quality Management、Artificial Intelligence、Population Health Management、Data Science、Predictive Models、Healthcare Information Technology、Medical Management和Utilization Management
地点
Vital Data Technology员工
-
Ram Pabbaraju
Experienced Director of Software Development | Driving Success in Agile Environments | Expertise in Complex Refactoring Projects | 20+ Years of…
-
Hollis Toomey
President and Founder leading product strategies in healthcare innovation
-
Jeff Zachritz
-
Alan Spiro
On a mission to use technology to scale people-centric medicine
动态
-
The Medicare Advantage landscape is transforming, and staying nimble is more crucial than ever. Insights from #RISENational2025 emphasize the importance of agility, scenario planning, and fast decision-making to adapt to policy shifts, operational pressures, and scrutiny. Key takeaway? Organizations that foster a forward-thinking, agile mindset will not only survive but thrive amid uncertainty. Read the full article here: https://bit.ly/3FyLi0q #HealthcareLeadership #MedicareAdvantage #PriorAuthorization #CMSFinalRule
-
IT spending by U.S. healthcare payers is set to surge in 2025, with top priorities including advanced analytics, cloud-based infrastructure, and AI-driven solutions. These investments are reshaping payer strategies, enabling smarter decision-making, enhanced member experiences, and improved operational efficiency. How is your organization aligning its IT roadmap with these emerging trends? Dive into our latest blog to uncover the key drivers behind this growth and actionable steps to stay ahead. Read more: https://bit.ly/3DzsBsX
-
Advanced analytics and cutting-edge technology are reshaping how health payers approach Population Health Management (PHM). By leveraging tools like predictive modeling, risk stratification, and behavioral segmentation, organizations can deliver personalized care, control costs, and improve outcomes. Curious how to align your strategy with these innovations? Discover actionable insights in our latest blog! ?? https://bit.ly/41DZuhg #PopulationHealth #PHM #AdvancedAnalytics #PredictiveModeling #BehavioralHealth
-
Staying compliant with evolving regulations like CMS-0057-F is a top priority for healthcare payers - and we're here to make it seamless. With Affinitē Intelligent Prior Authorization, you can streamline workflows, meet compliance requirements, and enhance efficiency without compromising care quality. Our solution is purpose-built to support CMS-0057-F capabilities, from advanced analytics to real-time integration and customizable workflows. ?? Learn more here: https://bit.ly/3ESCDpa #HealthcareCompliance #CMS0057F #PriorAuthorization #UtilizationManagement
-
Behavioral and physical health are deeply connected, yet often treated separately. AI and intelligent automation are changing this, enabling seamless integration for whole-person care. In our latest blog, we discuss the innovative approaches and technologies that are shaping integrated healthcare, the potential benefits and challenges of adopting a whole-person care model, and how these advancements can improve patient outcomes and overall well-being. Read more: https://bit.ly/3QwSufz #HealthcareTech #WholePersonCare #IntegratedHealthcare #AI #intelligentautomation
-
Star ratings are the benchmark for success in Medicare Advantage, but recent trends are concerning. The average plan rating has fallen from 4.07 in 2024 to 3.92 in 2025, with only 40% of MA plans earning four or more stars - a sharp drop from 68% in 2022. Stricter CMS thresholds, rising member expectations, and inefficiencies in UM and prior authorization are at the heart of this challenge. The solution? Next-generation utilization management and intelligent prior authorization. By using advanced technology to streamline workflows, reduce care delays, and enhance member and provider experiences, MA plans can not only reverse this downward trend but aim for higher scores. Curious how innovative tools can help your plan reclaim its star rating? Read more: https://bit.ly/42UPykp #MedicareAdvantage #StarRatings #PriorAuthorization #HealthcareInnovation
-
Are you part of the digital vanguard? Explore our latest blog, ‘Healthcare Payer Strategic Priorities: Insights from Gartner’s 2025 CIO Agenda’ to discover the strategic imperatives Gartner has identified as shaping the payer space. Key takeaways include: ?? How digital vanguard leaders outperform their peers by co-leading transformation initiatives across IT and business. ?? The emerging dominance of AI platforms and data science tools in operational excellence. ?? Strategic guidance on balancing cost-efficiency and innovation potential in vendor selection. Read the blog: https://bit.ly/4aMDaow #HealthcarePayer #HealthPlan #DigitalTransformation #Gartner #DigitalVanguard
-
The next evolution of CMS Star Ratings is here, and it’s bringing significant changes for Medicare Advantage plans. With a stronger focus on clinical performance, member experience, and equitable care outcomes, the path to maintaining - or improving - Star Ratings is shifting. This isn’t just a challenge; it’s an opportunity for MA plans to elevate care and showcase their value. Are you ready to adapt and thrive under the new expectations? Read the full blog for actionable insights that will position your organization for success: https://bit.ly/3EcrLC9 #MedicareAdvantage #StarRatings #HealthEquity #Analytics #MemberExperience #HealthcareInnovation
-
AI is undeniably reshaping prior authorization. By automating labor-intensive tasks, streamlining workflows and offering predictive insights, AI is saving time and reducing administrative burdens for payers and providers alike. But as promising as the technology is for reshaping prior auth, human oversight remains critical to ensuring true patient-centric care. Discover how a balanced approach to AI can transform prior authorization processes while ensuring that the expertise and judgment of clinicians remain paramount. Read more: https://bit.ly/4ahFbc8