From CMS compliance to clinical intelligence, these are the workflows health plans and healthcare organizations have transformed using the OnyxOS platform and Onyx Expert Services.
A hybrid AI pipeline combining clinical NLP and vector search improved relevant case identification by up to 80% — transforming how a regional health plan surfaces risk across thousands of unstructured clinical documents.
A large payer was drowning in millions of FHIR resources it couldn't ingest meaningfully. A real-time ETL pipeline with automated deduplication reduced data quality issues by 80% and unlocked 60 hours of earlier analytics access.
Disparate claims, clinical, and pharmacy data were making accurate HEDIS scoring near-impossible. A cloud-based computation platform with integrated data sources delivered a 20% lift in Medicare Advantage Star Ratings.
A 30% PA denial rate and mounting administrative burden — with CMS-0057 requiring ePA by January 2027. FHIR-based ePA embedded into existing EMR workflows cut approval time from 15 days to 48 hours.
Fragmented tools were leaving providers and ACOs without a unified view of quality performance. An integrated VBC module suite tracking 100+ CMS, HEDIS, and payer-specific measures delivered a 45% improvement in quality performance.
A 15-year-old monolithic architecture was blocking ONC Cures Act compliance. A HAPI FHIR Server deployment with HL7v2-to-FHIR pipelines achieved full compliance and cut integration time for new connections by 90%.
Millions of FHIR questionnaires from providers and patients — with no way to extract actionable insights at scale. A SMART on FHIR analytics app improved staff productivity by 90% and increased assessments processed by 20%.
Fragmented data exchange across providers, labs, payers, and pharmacies was driving care coordination delays and high maintenance costs. A cloud-native integration engine on AWS reduced endpoint onboarding from 6 weeks to 4 days.
