Articles from Abacus Insights

TechM, a leading global provider of technology consulting and digital solutions to enterprises across industries and Abacus Insights, the industry leader in data usability and interoperability for U.S. healthcare payers, announced a strategic partnership to enable seamless compliance and modernize healthcare data interoperability. The partnership will streamline and accelerate the implementation lifecycle for U.S. healthcare payers required to comply with the Centers for Medicare & Medicaid Services (CMS) Interoperability and Priority Authorization Final Rule (CMS-0057-F).

Abacus Insights, the leader in data usability for U.S. payers, today announced the promotion of John Pyhtila, PhD., Chief Product and Strategy Officer, to Chief Operating Officer, effective immediately. As COO, Pyhtila will oversee product, delivery and customer success, as well as client data engineering teams, and report to Abacus Insights CEO and Founder Minal Patel, MD.

Abacus Insights, the leader in data usability for U.S. payers, is expanding its industry-leading CMS Interoperability data solution to enable health plans to comply with the Centers for Medicare and Medicaid Services’ latest and most ambitious mandate, CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). Built on Abacus Insights’ usable data platform for payers, the solution is fully integrated with the CMS interoperability platform of Onyx, bringing to market a new suite of turnkey compliance modules that enables payers to meet CMS-0057-F requirements seamlessly and cost-effectively, starting with the looming early 2026 metrics reporting deadline.

Healthcare technology innovator enGen and Abacus Insights, the leader in data usability for U.S. payers, today unveiled their collaboration on next-generation platforms and solutions that enable health plans to increase efficiency, reduce costs, improve member care, meet regulatory mandates and realize other enterprise priorities.

Abacus Insights, the leader in data usability for U.S. payers, is launching its breakthrough Stars Performance Data Solution to equip payers with the insights-ready dataTM to accelerate improvement in quality outcomes and member and provider experience, which will in turn boost Medicare Star Ratings. The data solution eliminates the current heavy burden of regularly wrangling data from multiple sources and manually integrating results across vendors and formats, empowering payers to focus more on executing interventions that result in improved quality, enhanced experience, and better Star Ratings.

Abacus Insights, the leader in data usability for U.S. healthcare payers, is pleased to announce that it has added William McIvor to its board of directors. McIvor brings deep experience in launching, scaling and managing fast-growing healthcare businesses, health plans, technologies, services and products.

Abacus Insights, the leader in data usability for U.S. healthcare payers, is pleased to announce that it has added John Pyhtila, Ph.D., to its management team as Chief Product and Strategy Officer. In this role, Pyhtila will report to Abacus Insights Founder and CEO Minal Patel, MD, and focus his experience on growing Abacus Insights’ leadership in data usability through developing and implementing new strategies, services and products that deliver maximum client value.

Abacus Insights, the leader in data usability for healthcare payers, is introducing a data solution that better enables health plans to calculate and monitor their total cost of care in real-time and across all lines of business throughout the claims process. As a result, payers can closely track costs to target care for all members, address higher than expected claims and ensure sufficient reserves.

Abacus Insights' and Onyx Technology's new partnership provides an immediate solution for payers needing to close the gap on complying with state and federal mandates for data interoperability. It also strengthens payers’ ability to support new consumer-driven and value-based models of healthcare.

Abacus Insights, the leader in data usability for healthcare payers, has earned the HITRUST r2 certification for its Data Transformation Platform hosted at Amazon Web Services (AWS) and Active Directory hosted at Microsoft Azure. For the recertification, Abacus Insights demonstrated that it met the gold standard for regulatory compliance, industry requirements and risk management.

Abacus Insights, the leader in data usability for payers, has launched a new tool that is a game-changing advantage in health plans’ ability to drive improved performance to meet new standards for care, cost, and efficiency. The new tool, MyMetrics, breaks the logjam in getting usable data and metrics flowing to payers’ critical functions and business needs such as risk adjustment, cost-of-care, clinical data, and CMS interoperability so executives have unhindered access for decision-making and management.

Abacus Insights has partnered with Blue Cross Blue Shield of Massachusetts (“Blue Cross”) to launch a new data strategy centered around exceptional consumer experiences and innovation in care and outcomes. Working together, Abacus Insights and Blue Cross have achieved a significant milestone by delivering updated data to members, providers, and business units in 15 minutes or less—down from 8 to 24 hours earlier this year and as long as one week in 2021. This latest achievement in data transformation encompasses Blue Cross’ mission-critical objectives, including unparalleled member experiences, quality, equity, and affordability.

Healthcare technology leader Abacus Insights has appointed Frank Hunt as its Chief Financial Officer effective November 1, 2022. Hunt joins Abacus Insights, a leader in healthcare data usability, at a critical period of growth for the company, bringing a demonstrated track record of fund-raising and financial leadership in healthcare services and insurance.

Abacus Insights, a healthcare technology leader with the only cloud-based data transformation platform built specifically for health plans, is rolling out a data solution that enables health plans to create comprehensive longitudinal patient records. The Clinical Data Solution does so by integrating and validating structured and unstructured clinical data from HIEs, EMRs, member devices and apps, as well as other external sources with core payer data including claims eligibility and case management, which offers an expanded foundation for improving member care and outcomes.

Abacus Insights, a healthcare technology leader with the only cloud-based data transformation platform built specifically for health plans, has launched a data solution that enables accurate risk adjustment for government-sponsored health plans. Abacus Insights’ Risk Adjustment Solution simplifies the rapidly escalating complexity of scoring and calculating risk by delivering correct, complete, and timely data tailored for each health plan.

Abacus Insights, a healthcare technology leader with the only cloud-based data transformation platform built specifically for health plans, is rolling out a suite of solutions that revolutionizes how payers can leverage data for faster and better decision making.

Abacus Insights, a leader in data management and interoperability solutions for healthcare payors, announced it has raised a $28 million Series C round from new and returning investors. The latest round was led by new investor, MultiPlan Corporation (NYSE:MPLN) (“MultiPlan”), a leading value-added provider of data analytics, cost management, and payment and revenue integrity solutions to the U.S. healthcare industry. MultiPlan is joined in this investment by returning investors Blue Venture Fund, CRV, .406 Ventures, Horizon Healthcare Services Inc., and Echo Health Ventures.

Abacus Insights, a leading healthcare data management and interoperability solution provider enabling payers to accelerate value-based care, member engagement and digital transformation initiatives, today announced the appointment of Mark Caron to its board of directors.

Abacus Insights, a leading healthcare data management and interoperability solution provider enabling payers to accelerate value-based care, member engagement and digital transformation initiatives, today announced the appointment of Peter Licursi as chief revenue officer (CRO).

Built In announced that Abacus Insights was honored in its 2022 Best Places to Work Awards. Specifically, Abacus Insights earned a place on 100 Best Places to Work, 50 Best Small Companies, 50 Best Paying Companies, and 50 Best Benefits in Boston. The annual awards program includes companies of all sizes, from startups to those in the enterprise, and honors both remote-first employers as well as companies in the eight largest tech markets across the U.S.

Abacus Insights, a leading data integration and interoperability platform that enables health plans and their providers to create a more personalized healthcare experience for consumers, is continuing to expand its interoperability solution with enhancements that improve data sharing and data management for health plan clients.

Abacus Insights, a leading data integration and interoperability platform that enables health plans and their providers to create a more personalized healthcare experience for consumers, today announced the appointment of Navdeep Alam as chief technology officer (CTO).