Payers
Consolidate data and automate workflows
THE PROBLEM
Payers are increasingly under pressure to process and analyze data more quickly, adapt to evolving regulatory requirements, and stay competitive. To address these challenges, forward-thinking payers are investing in interoperability strategies based on the FHIR® open standards. These solutions not only streamline data ingestion but also ensure compliance, support risk adjustment, and enhance care management and coordination. Truly interoperable data and IT systems, designed to be secure, scalable, and modular, help optimize payer operations while simultaneously improving care quality.
HEALTH INFORMATION YOU CAN TRUST
FHIR is the leading open standard for data exchange and interoperability in healthcare. CleanVues Health Data Platform is a FHIR-native, commercial solution designed for standardized, structured, and computable data. It seamlessly ingests data from diverse legacy sources, including provider EHRs, claims, member systems, and third-party platforms, all while enhancing data quality and governance. Additionally, CleanVues ensures data access security through robust consent and identification protocols, helping organizations maintain compliance.
Standardize data ingestion into structured FHIR resources to create a unified, secure healthcare data source you can trust for more informed business and clinical decision-making.
HEALTH KNOWLEDGE YOU CAN TRUST
The current quality measurement and risk adjustment process is often reactive, delayed, and reliant on manual, resource-heavy methods and limited IT infrastructure, making it expensive. CleanVues enables continuous quality measurement and proactive risk adjustment year-round by integrating structured data with our CQL Engine.
HEALTH INFORMATION YOU CAN TRUST
FHIR is the leading open standard for data exchange and interoperability in healthcare. CleanVues Health Data Platform is a FHIR-native, commercial solution designed for standardized, structured, and computable data. It seamlessly ingests data from diverse legacy sources, including provider EHRs, claims, member systems, and third-party platforms, all while enhancing data quality and governance. Additionally, CleanVues ensures data access security through robust consent and identification protocols, helping organizations maintain compliance.
Ensure and surpass compliance with a versatile, comprehensive CMS Suite that streamlines and simplifies processes throughout the payer network.
HEALTH EXPERTS YOU CAN TRUST
CleanVues industry expertise is unmatched. Our team includes the maintainers of HAPI FHIR and CQF Ruler, committed to developing interoperable health ecosystems based on open standards, free from vendor lock-in, to unlock true innovation. Smile’s experts lead and actively participate in over 31 Implementation Guide (IG) Working Groups and have successfully completed more than 160 FHIR implementations worldwide. With CleanVues, you can trust you’re in capable hands.
Access the knowledge, services, and support you need from the proven industry experts, when you need it.