Industry Research

2025 Index: FHIR + Interoperability Chartbook Module

Explore the first Index Chartbook Module on FHIR + Interoperability, including ePA, with insights on progress, key gaps, and how to move from compliance to measurable results.

Payer and Provider Contracting: Why a Critical Process is Stuck in the Past

See how the industry can realize greater savings by addressing fragmented payment arrangements, standardizing contracts, and simplifying payment processes.

Implementing APIs and FHIR Technology: A Vendor Perspective

Learn how vendors are adapting to federal mandates on APIs and FHIR technology, overcoming challenges, and driving innovation in healthcare data exchange.

Implementing FHIR Technology: A Provider Perspective

This issue brief details the challenges providers face in improving interoperability and adopting FHIR.

Increasing Transparency of Healthcare Charges: It’s a Manual Process

This issue brief examines how GFEs are generated and communicated and opportunity areas to reduce provider burden.

Delegated Management Vendors and the Automation Opportunity

This issue brief explores how plans and providers interact with delegated management vendors (DMVs) and identifies opportunities to improve how information is exchanged.

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How Health Plans Connect: Payer-to-Payer Data Sharing

This issue brief outlines health plans’ strategies and considerations for interoperability and the use of FHIR APIs to exchange data.

Clinical Documentation

This issue brief, published in June 2022, outlines challenges faced by health plans and providers when exchanging clinical and administrative attachments for prior authorizations and claims.

Accelerating Interoperability and Patient Access

This issue brief explores the healthcare industry's efforts towards meeting the goals of the 2020 CMS Interoperability Rule.

Communicating Attribution: Accessibility of Information to Support Value-based Payment Initiatives

Published in November 2021, this issue brief outlines how patient attribution is exchanged and the challenges providers face related to attribution.

Healthcare Utilization During a Pandemic: How COVID-19 Impacted Administrative Transactions

COVID-19 affected every level of healthcare. This issue brief, published in Spring 2021, explores the impact the pandemic had on healthcare utilization and administrative transactions.

Engaging with HL7 FHIR: Health Plan Baseline Readiness and Challenges

In the Spring of 2020, the Centers for Medicare & Medicaid (CMS) released Final Rules supporting industry interoperability and patient information access. This issue brief explores medical plans' readiness and barriers to HL7 FHIR implementation.

Provider Directories: What impacts accuracy

DataSpring dives deep into the persisting challenges of directory inaccuracies and approaches to resolve them