FHIR Search Performance Across 4 Servers: A First Look at the Numbers
FHIR search is where most production payer workloads actually live. Patient Access calls, panel queries, analytics extracts, and prior-auth bundle…
Author: Alessandro Ricci
Payer-side FHIR architect in Newport Beach. Writes about Da Vinci IG adoption and payer platform engineering.
Top 5 Risk Adjustment Patterns Using FHIR Clinical Data
Risk adjustment is the financial mechanism that compensates Medicare Advantage and ACA marketplace payers for the clinical risk in their…
Top 5 FHIR-Based Stars Rating Measurement Patterns for 2026
CMS Stars ratings drive Medicare Advantage bonuses, market positioning, and member growth. The measures depend on clinical and administrative data…
Top 5 Claims Analytics Modernization Patterns Using FHIR
Claims analytics at US health payers has decades of accumulated infrastructure. Data warehouses built years ago. Custom claim line fact…
STU 2.0.0 vs STU 2.0.1: How Da Vinci IG Versions Differ in Production
Da Vinci IG versioning looks subtle on the surface. STU 2.0.0 versus STU 2.0.1 sounds like a minor patch. In…
Da Vinci CRD vs PDex: Which IG Drives Which Workflow
Coverage Requirements Discovery (CRD) and Payer Data Exchange (PDex) are two Da Vinci IGs that sometimes get confused in early…
Best Multi-Tenant FHIR Hosting Models for Payer Workloads in 2026
Multi-tenant FHIR hosting matters for any health plan that supports multiple lines of business, multiple delegated entities, or multiple regulatory…
5 Patterns for Using FHIR Data to Train Payer LLM Applications
LLM applications at US health payers are growing in 2026. Care management note summarization. Prior auth narrative generation. Member service…
FHIR Adoption Roadmap: How Payer-Side Deployments Actually Ship
Payer-side FHIR adoption follows a specific roadmap driven by CMS-0057 requirements. Understanding the sequence shapes investment. Phase 1: Foundation (months…
Digital Forms for Healthcare: Adoption Patterns in Payer Ops
Digital forms in payer operations serve specific workflows: prior authorization, appeals, member surveys, provider credentialing. Understanding adoption patterns shapes deployment.…