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.
Health Tech Platforms
Hyperion® empowers health tech companies to build sophisticated analytics platforms and data-driven applications
FHIR®-Based Analytics
- Real-Time Insights: Enables patient satisfaction alerts, readmission monitoring, and cost optimization analytics within third-party applications
- Scalable Data Lake: Supports billions of rows of healthcare data with built-in semantic layers and user permission mapping
Developer Ecosystem Support
- AI/ML Pipeline Integration: Connects to machine learning platforms for predictive modeling and automated clinical decision support.
- Interoperability Solutions: Bridges legacy systems with modern FHIR®-based applications through Hyperion®'s transformation capabilities
- Standards-Based Integration: Facilitates third-party app development through standardized FHIR® APIs and CDM compatibility.
Data Monetization Opportnities
- Analytics-as-a-Service: Enables platform companies to offer sophisticated healthcare analytics without building complex data infrastructure
- Custom Data Products: Supports creation of specialized healthcare data marts for niche market applications and research partnerships
Customer Journey
- Phase 1: Data onboarding (FHIR® ingestion, flattening)
- Phase 2: CDM mapping (Sentinel, OMOP, PCORnet, i2b2/ACT)
- Phase 3: Analytics enablement (dashboards, quality reporting, custom data marts for use cases)
- Phase 4: Advanced AI/ML or seamless downstream application enablement through Integrations