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Health plans

Unlock the hidden value of your members’ health records

Use intelligent data exchange and interoperability solutions to make healthcare more accessible, effective, and affordable.
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Enhance accuracy in retrospective risk assessment through AI automation

Boost coding efficiency and ensure accuracy by leveraging AI-enabled automation to identify relevant charts and optimize retrieval methods.

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Leverage smart clinical data networks for prospective risk assessment

Optimize care decisions with Datavant's clinical data network, providing whole-patient insights for seamless in-home, virtual, and in-office risk assessments.

Solution overview
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Products and solutions

Easily capture and analyze health data quickly and securely

Maximize coding accuracy. Enhance HEDIS and Star ratings. Identify and mitigate costly healthcare gaps for optimal patient-provider interactions.
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Health Data Retrieval

Acquire complete member histories quickly and accurately

Exceed retrieval goals, streamline operations, and drive unparalleled value across your use cases through our multichannel retrieval.
Access the nation's largest 70K+ provider network for enhanced data yield.
Gain early access to data through more than 20K+ digital FHIR connections for rapid submissions.
Meet new NCQA, HEDIS, and CMS Star reporting requirements to ensure compliance.
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HCC Coding

Enhance coding precision and speed

Enhance coding accuracy and completeness while achieving superior efficiency and operational performance through AI automation.
Minimize RADV and OIG audit exposure with data-driven mitigation strategies.
Improve the accuracy and completeness of risk adjustment coding.
Speed turnaround time with efficient retrieval and coding integration.
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Trusted by
93%
Leading Medicare Advantage, Medicaid, and ACA health plans for over 45 years
Retained by
98%
Health plan customers annually
Access
70,000+
Hospitals and clinics through the largest health data retrieval network
Experience
20% to 40%
Lower fees than other vendors' total chart acquisition costs

Explore our offerings

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HCC coding

Fast, accurate estimations of member risk using AI-based coding
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Health data retrieval

Seamless and secure access to health data
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Datavant supports health plans in making healthcare more accessible, effective, and affordable through smarter data exchange and interoperability solutions.

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Product overview

Powerful Data Logistic Solutions for Health Plans

1/17/2024

The health care industry has been relatively slow to catch on to the digital revolution compared to other industries. While health care organizations have invested in electronic health records (EHRs) over the past two decades, data typically remained siloed across organizations and in different formats, making it difficult to access and share information.

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White paper

State of the Industry Issue Brief

11/19/2020

Hierarchical Condition Category (HCC) coding is a risk-adjustment model designed to estimate future healthcare costs for patients.

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Blog

Hierarchical Condition Category (HCC) Coding: Purpose & Use

July 4, 2024

Examine how the new Making Care Primary model from CMS aims to integrate primary care, clinical and SDoH data to transform healthcare.

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Blog

Making Care Primary Model Integrates Primary Care, Clinical and SDoH Data to Transform Healthcare

July 27, 2023

Medicaid and CHIP are public health insurance programs that provide healthcare coverage for millions of low-income individuals and families. Learn more.

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Blog

FAQs on Medicaid Redetermination, Unwinding, Eligibility, Enrollment, PHE, and CHIP

April 18, 2023

See why plans need to solve for risk adjustment blind spots using a member-focused retrieval of information.

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Blog

Modern Day Risk Adjustment Reimbursement

February 24, 2022
Webinar

Preparing for 2023

12/19/2022
December 19, 2022

Learn which data you should incorporate into your health plan’s risk adjustment to ensure the most success in the coming year.

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Webinar

Calming Risk Adjustment's Rough "C"s: Capturing, Coding, Cross Checking & Complying

5/25/2023
May 25, 2023

Learn how you can adapt to CMS rule changes on Risk Adjustment with technologies like Digital Retrieval, AI, and NLP.

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Webinar

The Complete Member Picture: Consolidating Disconnected Healthcare Data for Greater Member Insight, Empowering Risk Adjustment, and Enhanced Quality Scores

11/15/2023
November 15, 2023

Learn about digital transformation in healthcare and the challenge of connecting and standardizing data from disparate platforms.

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Using Datavant's Death Index database, researchers assess COVID-19 mortality trend by time and sex to analyze mortality cases and identify observed differences.

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Research

Sex differences in COVID-19 mortality: A large US-based cohort study (2020–2022)

7/9/2024

This study outlines a method for updating age-constrained thresholds using upcoming 2020 census data and provides recommendations based on the 2010 census.

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Research

Best Practices in Evolving Privacy Frameworks for Patient Age Data: Census Data Study

3/25/2024

Research driven by real-world clinical data is increasingly vital to enabling learning health systems, but integrating such data from across disparate health systems is challenging.

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Research

Privacy-preserving record linkage across disparate institutions and datasets to enable a learning health system: The national COVID cohort collaborative (N3C) experience

1/11/2024

Substance misuse is a complex and heterogeneous set of conditions associated with high mortality and regional/demographic variations. Existing data systems are siloed and have been ineffective in curtailing the substance misuse epidemic.

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Research

Creation of a data commons for substance misuse related health research through privacy-preserving patient record linkage between hospitals and state agencies

12/4/2023

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Events

AHIMA Annual Conference

10/27/2024
October 27, 2024

Join the 10,000+ anticipated attendees (including 2,500+ CEOs), 300+ speakers, and 800+ sponsors, all convening at HLTH to be part of healthcare's preeminent all-inclusive event experience.

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Events

HLTH Las Vegas 2024

10/20/2024
October 20, 2024

RISE West is the premier senior leadership conference bringing together forward-thinkers in the managed care space.

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Events

Datavant at RISE West Colorado Springs 2024

9/11/2024
September 11, 2024

Join Datavant at NALA Conference & Expo. Learn how Datavant helps legal professionals request, track, retrieve, and pay for the retrieval of patient-authorized medical records.

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Events

NALA Conference & Expo

7/11/2024
July 11, 2024
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Elevate your data strategy

Schedule your consultation today and unlock value through our industry leading solutions.

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Datavant makes the world’s health data secure, accessible, and usable. Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.

Through proprietary technology, the world's most robust healthcare network, and value-added services we protect, connect, and deliver the world's health data. Datavant enables more than 60 million healthcare records to move between thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

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