Untangling the clinical data knot — survey-based analysis by MRO

In the high-stakes game of healthcare, inefficient clinical data exchange is costing millions. Bottlenecks, delays, and miscommunication aren’t just administrative headaches — they’re a drain on bottom lines.

Every delayed prior authorization, every inaccurate risk adjustment, every claim denial… it’s not just data on a screen. It’s a patient waiting, a treatment postponed, a life impacted.

Is your data exchange process failing those you serve?

Hospitals and health systems face mounting pressure to control costs while ensuring seamless communication with payers. The manual processes and disparate systems often used for tasks like prior authorization and risk adjustment can lead to inefficiencies, delays in patient care, and lost revenue.

In conjunction with MRO, CHIME’s Digital Health Analytics (DHA) surveyed more than 180 leaders at health systems to better understand their approach to clinical data exchange with payers across various use cases. The survey asked these healthcare providers about the technical and operational challenges of sharing information with their payer partners.

This white paper details the survey and its findings, such as the lack of clear ownership over data exchange processes, the underutilization of technology solutions, and the difficulties in navigating payer requirements.

Key takeaways of the survey include:

• Identify areas for improvement: Understand the common pain points in clinical data exchange and how they impact your organization’s bottom line.
• Optimize workflows: Learn how to streamline processes, reduce administrative burdens, and improve efficiency through automation and technology adoption.
• Leverage third-party solutions: Discover the benefits of partnering with specialized vendors to navigate the complexities of data exchange and achieve cost savings.
• Enhance patient care: Improve the patient experience by accelerating prior authorizations, ensuring accurate risk adjustment, and enabling better care coordination.

Download this white paper today to gain valuable insights into optimizing clinical data exchange, reducing costs, and improving patient outcomes in an increasingly digital health environment.