Payer interoperability


A Meaningful Shift: Administration & Payers Unite to Reduce Prior Authorizations

On June 23, 2025, Health & Human Services (HHS) Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz, announced a...

The Path to Digital Quality: Why Payers Must Rethink Their Data Strategy Now

The shift to fully digital HEDIS® reporting is no longer a distant goal. NCQA is collaborating with health care organizations across the industry to make HEDIS reporting fully...

From Siloes to Synergy: Unlocking the Full Value of Member Data

The Hidden Cost of Data Inefficiency How often has your plan asked a provider for the same patient information? Or paid for data that already exists somewhere else within your...

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