As landmark industry and regulatory trends such as the Trusted Exchange Framework and Common Agreement (TEFCA) accelerate the shift to a digital landscape, interoperability is emerging as a key focus for health plan leaders. The ability to exchange and use digital data effectively is paramount in enhancing operational efficiency and improving care delivery—yet requires payers to have dedicated resources and specialized expertise.
Access to structured, comprehensive data empowers health plans to enhance their risk adjustment and quality program outcomes. To ensure success, payers must understand complex regulations and data exchange standards, invest in new partnerships, and improve data accuracy.
In Cotiviti’s new eBook, explore how to optimize interoperability strategies in 2025 and beyond as we provide key recommendations for health plans to achieve a scalable and impactful interoperability program.
Read the eBook as we break down:
- Regulatory updates and emerging opportunities: Learn how the latest developments from TEFCA 2.0 and the National Committee for Quality Assurance (NCQA) transition to HEDIS® digital quality measures affect industry innovations.
- The business impact of interoperability: Explore how interoperability drives better outcomes for risk adjustment and quality improvement programs through more efficient data management.
- Key recommendations: Understand how internal and external partnerships, robust data quality processes, and scalable technology infrastructure help pave the way for effective digital data exchange.
As health plans navigate the challenging landscape of implementing new technologies and meeting evolving regulatory requirements, building a strong business case and leveraging best practices are essential to improve operations and help drive positive care outcomes.
Read our eBook and learn from Cotiviti’s experience working with more than 200 payers as we dive into how to build a scalable interoperability program that will power better outcomes for your organization in 2025 and beyond.
