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Payer Data Integration for Value-Based Care

Client:  Regional Health Plan (1.4M Members) 
Solutions Used: HealthSync™, HealthInsight™ 

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Challenge

The payer’s data team needed to unify clinical, claims, and pharmacy data for performance reporting and risk adjustment — a critical requirement for value-based care and measurable healthcare data integration results.

Multiple vendor systems and inconsistent HL7 feeds led to delayed insights and inaccurate quality metrics, undermining healthcare interoperability success. 

Solution

Hart implemented HealthSync™ to enable real-time data exchange across EHRs, claims databases, and care management systems.

Using Hart platform incoming feeds were normalized to FHIR-compliant formats and routed validated data into HealthInsight™ for analytics and reporting — strengthening healthcare data modernization ROI. 

Results

Group 1597884941   Unified 10+ disparate data sources into one accessible repository 

   Reduced data refresh time from 3 weeks to 24 hours 

  Improved quality metric submission accuracy by 90% 

  Enabled real-time HEDIS and Stars reporting 

   Provided automated audit logs for compliance reviews 

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 “We can finally trust the data that drives our decisions. Hart helped us connect systems we didn’t think could talk to each other.”  

—  Chief Data Officer, Regional Health Plan 

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