Insights from the minds at Cognosante

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Improving Customer Experiences with Data Insights

Context: The Federally Facilitated Marketplace (FFM) established by CMS provides individuals and small businesses a “one-stop shop” for private health insurance options. Throughout the FFM enrollment process, discrepancies arise that need to be investigated and reconciled in a timely manner so that customers receive the correct coverage, and plan issuers receive the correct payments.   Challenge: Each year, taxpayers who obtain insurance through the […]

Expert Insights: Applying Cognosante Interoperability Innovations to Healthcare

In today’s digital world, organizations have vast amounts of data at their fingertips. This is especially true in the healthcare industry, which over the last 20 years has evolved from a disjointed paper-based system into one with continually evolving and improving data interoperability.   Clinical data,   claims data, administrative data, and information collected through smartphones and other personal medical devices are […]

Advancing Beyond Connectivity in the Digital Age

Earlier this year, the Department of Health and Human Services (HHS) announced the release of two final rules to promote safe, secure access to patient health data. These rules implement key provisions of the 21st Century Cures Act. Specifically, they give individuals greater control over their healthcare data, promote the use of smartphone applications, and […]

Author: Cognosante
Cognosante
Data and Technology

Data Sharing to Improve Patient Experience

Achieving a fully interoperable healthcare system requires solving complex data challenges. As a founding member of the Da Vinci Project, Cognosante works with industry partners to build the foundation for smooth and safe movement of patient data throughout the healthcare system.   Currently, the Da Vinci Project team is working to enable prior authorization review and approval in […]

Author: Cognosante
Cognosante
Federal health programs, State health and human services, Data and Technology

Reaching the Next Frontiers in Healthcare

Our nation’s healthcare system faces many challenges, including aging infrastructure, disconnected data collection and transmission, and high costs. In honor of Health IT week, we are proud to share a few examples of how we are meeting those challenges every day. Whether we are promoting industry standards in interoperability, transitioning legacy health records to the […]

Automating case resolution in the Marketplace

CONTEXT As part of the Affordable Care Act, taxpayers who obtain insurance through healthcare.gov receive a 1095a tax form which explains their coverage and any premium tax credit they have received. It is then used to reconcile any coverage detail discrepancies reported by the consumer after receiving the form at tax time. A case must […]

Data and Technology