Use Cases
Payers
Hyperion® transforms FHIR® data through the Medallion architecture to support comprehensive payer analytics and regulatory compliance
HEDIS® Reporting
- Electronic Clinical Data Systems (ECDS): Supports NCQA®'s shift toward digital measures, reducing reporting burden by up to 70% through automated data extraction from FHIR® resources.
- Real-Time Performance Monitoring: Gold layer views enable continuous tracking of colorectal cancer screening, blood pressure control, and diabetes management rates for proactive improvement.
Risk Adjustment
- HCC Coding Optimization: Processes clinical documentation from FHIR® encounters to identify risk adjustment gaps and improve RAF scores
- Predictive Analytics : Uses historical FHIR® data patterns to forecast Star ratings performance and identify intervention opportunities before measurement periods.
Medicare Advantage Stars Optimization
- Provider Burden Reduction: Streamlines documentation requirements by providing real-time visibility into missing diagnoses and coding opportunities.
Population Health Management
- Chronic Disease Surveillance: Tracks diabetes, hypertension, and cardiovascular conditions across patient populations using OMOP and PCORnet schemas.
Providers
Hyperion® enables providers to leverage FHIR® data for research excellence and operational insights through standardized CDM support.
PCORnet Clinical Research
- Rapid Cohort Identification: Transforms complex research queries from weeks to minutes using optimized Silver layer tables and Gold layer research views.
Population Health Mnagement
- Chronic Disease Surveillance: Tracks diabetes, hypertension, and cardiovascular conditions across patient populations using OMOP and PCORnet schemas
- Care Gap Analysis: Identifies patients missing preventive screenings, vaccinations, or follow-up care through automated analytics.
Life Sciences
Hyperion® supports pharmaceutical and biotech companies with FDA-aligned research infrastructure and real-world evidence generation.
OMOP-Powered Observational Research
Sentinel-Aligned Surveillance
- EHR-Claims Integration: Combines clinical detail from FHIR® resources with administrative claims for comprehensive safety analysis.