By Nathan Elliott – When NCQA validated its first ten clinical data streams in late 2021, Data Aggregator Validation looked like an experiment. Four years on, it looks like infrastructure.

In this week’s special edition of “News You Can Use” on Healthcare NOW Radio Dr. Nick sits down with Adam Russo, CEO and Founder of The Phia Group, to explore Fiduciary liability and what employers and brokers need to know about health plan oversight.

By Rafiq Ahmed – For decades, one of the most consequential numbers in healthcare was effectively invisible to the providers delivering care: what a payer actually reimburses a hospital for a given service. Health systems negotiated contracts based on internal assumptions, historical precedent, and incomplete intelligence about what the market was actually paying.

By Abhishek Gupta – Despite the strong investments in data and analytics, VBC’s promise remains largely unfulfilled. Most organizations have invested in analytics dashboards that surface insights but don’t drive action. A closer look reveals why.