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Edifecs, a Cotiviti company, provides market-leading technology to its payer and health system customers, which serve nearly 300 million people in the U.S. healthcare market. For over 25 years, Edifecs has enabled customers to unlock greater value with their healthcare operations cloud solutions and data management platform, which includes its award-winning healthcare interoperability cloud solution. Edifecs healthcare SaaS solutions, available on public, private, and hybrid clouds, serve as the foundation that eliminates stakeholder friction to overcome healthcare’s biggest challenges, including accelerating value-based care adoption and obtaining more complete and accurate care funding. For more information, visit www.edifecs.com
MCG Health, part of the Hearst Health network, helps healthcare organizations (both in the government and private sectors) guide clinical decisions using updated, evidence-based content, analytics, and innovative technology. MCG solutions are currently used by a majority of the largest U.S. health plans and over 3,100 hospitals to support clinical judgment. MCG’s ultimate goal is to help patients receive appropriate care (based on vetted, scientific literature and data) in the proper setting.
MCG, along with Regence Health Plans and MultiCare Connected Care, was the first to implement a scalable, prior authorization automation solution using the HL7 Fast Healthcare Interoperability Resources (FHIR®) standard with the HL7 Da Vinci Project implementation guides. In 2023, they were recognized by KLAS with a Points of Light Award. Read the case study.
