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…
Payer-side FHIR architecture: Da Vinci IG adoption, analytics stacks, and payer platform engineering notes.
Risk adjustment is the financial mechanism that compensates Medicare Advantage and ACA marketplace payers for the clinical risk in their…
PostgreSQL has become the default storage substrate for production FHIR platforms in 2026. The JSONB column type stores FHIR resources…
Inferno is the conformance suite that CMS-0057-F uses to verify Da Vinci IG compliance. Implementations that pass Inferno meet a…
A FHIR-native platform is one where FHIR is the canonical data model, not a translation layer over existing systems. For…
CMS Stars ratings drive Medicare Advantage bonuses, market positioning, and member growth. The measures depend on clinical and administrative data…
Health Record Exchange (HRex) is the Da Vinci foundation IG that other Da Vinci IGs build on. Most payer implementations…
HL7 Connectathon events bring vendors together to test their Da Vinci IG implementations against each other in realistic integration scenarios.…
Cloud-native FHIR hosting reduces operational burden substantially for health plans that do not have strong on-premise infrastructure or specific data-residency…
Claims analytics at US health payers has decades of accumulated infrastructure. Data warehouses built years ago. Custom claim line fact…
The HL7 Da Vinci Project produces the FHIR Implementation Guides that CMS-0057-F relies on. The ecosystem covers Coverage Requirements Discovery,…