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Points of Light 2025 Case Study 8 Points of Light 2025 Case Study 8
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Points of Light 2025 Case Study 8
Automating Secure Release of Information for Quality & Risk Adjustment Use Cases

author - Boyd Stewart
Author
Boyd Stewart
author - Aurene Wilford
Author
Aurene Wilford
 
May 13, 2025 | Read Time: 1  minute

The payer organizations in this collaboration were struggling to access patient data in a timely manner to determine risk scores and meet quality measures. Historically, the organizations would send requests for medical records to Healthcare Organization 8 at a certain time of year, which overwhelmed that organization. To mitigate these challenges, the stakeholders collaborated with Moxe Health and Cotiviti to automate the release of information (ROI). This led to a more efficient ROI process and time savings for the payer and healthcare organizations.

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Key Findings:

  1. Executive Summary
    • The Collaborators
  2. Points of Friction—Challenges to Be Solved
  3. Action Plan—How the Collaborators Worked Together to Reduce Friction
  4. Points of Light—Outcomes Achieved Through Collaboration
  5. Lessons Learned—What Best Practices Can Other Organizations Replicate?
  6. What's Next?—Vision for the Future
author - Natalie Hopkins
Writer
Natalie Hopkins
author - Jess Wallace-Simpson
Designer
Jess Wallace-Simpson
author - Joel Sanchez
Project Manager
Joel Sanchez
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2025 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.