Trexin helped a large Payer assess its business capability needs and solution options for capturing and integrating data from its Provider network.
Trexin helped a large Payer assess its business capability needs and solution options for capturing and integrating data from its Provider network.
1 PagesTREXIN CASE STUDY © TREXIN CONSULTING, LLC CONTACT US Healthcare Practice hc@trexin.com www.trexin.com ASSESSING CAPABILITIES FOR CLINICAL DATA EXCHANGE Trexin helped a large Payer assess its business capability needs and solution options for capturing and integrating data from its Provider network. BUSINESS DRIVER A statewide healthcare plan had several disparate efforts underway to obtain and integrate clinical data from Providers for various uses, including HEDIS/STARS reporting, risk adjustment, claims adjudication, and care management. To unify and improve the processes and technology for obtaining and leveraging this clinical data as effectively as possible (while minimizing the administrative burden on their Provider partners), the Director of Provider Networ
