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In-depth guides, tutorials, and best practices for database design, data architecture, and healthcare data modeling.
Platform comparisons, TCO analysis, and governance frameworks — written for the people who approve the budget.
Showing 37–42 of 81 posts
The 21st Century Cures Act is not just a compliance checkbox — it mandates specific technical capabilities around open APIs, information blocking prohibition, and patient data access. Here is what your data architecture must deliver.
TEFCA is now operational. Qualified Health Information Networks are live. If your health system or payer is not actively planning TEFCA participation, you are behind. Here is what the architecture requires.
CMS-9115-F and its successors are not just policy — they are architectural requirements. Patient Access API, Provider Directory API, payer-to-payer exchange, and prior auth APIs each require specific technical capabilities your data team must build.
Prior authorization is one of the most operationally complex workflows in healthcare — and one of the most data-intensive. Here is the end-to-end data model, from PA request through appeal.
The data lakehouse pattern — combining the scalability of a data lake with the ACID guarantees of a warehouse — is a natural fit for payer data. Here is how to build it on Delta Lake, layer by layer.
Not every healthcare claims use case requires real-time processing — and treating them all the same wastes resources and adds complexity. Here is the decision framework for choosing the right architecture.
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