Interoperability Enablement for Value-Based Care Use-Cases

We help healthcare technology companies turn fragmented clinical, claims, and operational data into decision-grade intelligence that powers quality, risk, cost, and care outcomes in Value-Based Care models.

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Most Value-Based Care initiatives don’t fail because of strategy.

They fail because the data and execution layer was never engineered for scale.

Clinical, claims, and operational data are fragmented, inconsistent, and governed by different rules.

When attribution logic, measure computation, and workflows sit on unstable foundations, performance becomes manual, fragile, and hard to defend.

This is where structured interoperability execution becomes critical.
Representative Value-Based Care Use-Cases We Have Implemented
These are execution tracks we have built for clients across different VBC environments. Each implementation is tailored to the client’s architecture, contracts, and performance goals.

SDoH Data Integration & Analytics

Integrated clinical, claims, and SDoH data into unified pipelines supporting population insights and targeted interventions.

Care Coordination Workflow Build

Implemented dashboards and automation layers embedded into multi-team care delivery environments.

Care Gap & Care Plan Logic

Operationalized gap identification and care plan workflows using normalized cross-setting datasets.

Care Gap Analytics Infrastructure

Built longitudinal patient views and quality-rule execution across fragmented systems.

Quality Measure Engine Implementation

Designed auditable calculation engines for HEDIS, Stars, and custom VBC measures.

Risk & Cohort Modeling Layer

Developed attribution-aligned cohort models and risk-stratified data foundations.

CMS TEAM Risk Analytics

Implemented episode-based integration, benchmarking, and reporting aligned to TEAM requirements.

CMS ACCESS Reporting Foundation

Built interoperability and reporting layers supporting ACCESS participation and audit traceability.
We do not sell pre-packaged products. Each engagement is architected and implemented in collaboration with internal product and engineering teams.
TechVariable helps you with

v2/FHIR/CDA/EDI Integration Social Determinants of Health Integration Health Data Normalization & Mapping Setting up Your Health Data Lake Setting up Your Terminology Server FHIR Enablement Services Gen AI / Agentic AI Workflows Care Gap Analytics Quality Measures Reporting

Case Studies

Customer success stories of turning inefficiencies into insights.

SDoH-driven patient analytics

We trained AI models so that our client could categorize patients by Social Determinants of Health (SDoH) via Gravity Project-aligned questionnaires, integrated with EHR for actionable insights.

20%

faster identification of high-risk patients

12%

reduced avoidable hospital visits

SDoH integration

Electronic Health Record

AI Implementation

Partnership with FQHCs for Medicaid-Centric Transformation

We partnered with a Chicago-based Health-tech client to streamline care management, enhance reporting, and strengthen compliance with chronic disease protocols through a combination of AI, automation, and modular health IT accelerators like SyncMesh.

30%

increase in care gap closure

22%

increase in preventive screenings

Medicaid

Chronic Care Mgmt

SyncMesh

Enabling FHIR-Based Data Integration for Wound Care Across Post-Acute Settings

We helped US-based wound care organization serving skilled nursing facilities, assisted living centers, and home-based care networks, integrate data from PointClickCare (PCC), a leading EHR platform in the PAC segment, with its internal infrastructure, laying the foundation for longitudinal
patient visibility and analytics-driven decision-making.

100%

replacement of manual data extraction

Zero

through fault-tolerant sync

FHIR Integration

Interoperability

ETL Pipeline

Heatwave Resilience for Care Facilities

We designed and deployed an advanced platform that integrates real-time weather data, patient vitals from IoT devices, and predictive models to mitigate heatwave risks, particularly for the elderly and chronically ill.

45%

faster alerts delivered

18%

lower heat-related incidents

Data Integration

Predictive Analytics

Chronic Care Mgmt

Preventing Controlled Substance Misuse

We designed and implemented an end-to-end Drug Diversion Surveillance & Reporting Platform—from data ingestion to real-time alerts—leveraging healthcare domain expertise, advanced AI models, and secure, modular architecture.

28%

faster identification of high-risk patients

35%

reduced investigation time

Drug Diversion

Pharmany Benefit Mgmt

AI Implementation

SNOMED CT Terminology Server Deployment

We designed and deployed a national-grade SNOMED CT Terminology Server infrastructure, integrating Snowstorm with HAPI FHIR and enabling a North American nation’s healthcare providers to share accurate, consistent, and standards-based clinical data across the continuum of care.

100%

terminology compliance achieved

65%

reduction in coding errors

Sever Setup

Clinical Data Integration

Compliance Mgmt

Redefining Healthcare Communication & Collaboration

We designed and developed a Collaboration Platform — a cloud-native, HIPAA-compliant, multi-tenant collaboration platform tailored for healthcare roles.

55%

reduced care delays

2X

accelerated decisions

HIPAA Compliant

Interoperability

Collaboration

A HIPAA-Compliant Digital Platform for Dental Consultations and Second Opinions

We delivered a HIPAA-compliant, cloud-native digital dentistry platform that connects patients and dentists with security, transparency, and speed.

100%

HIPAA Compliant

2 Week

Sprint Model

Digital Dentistry

Interoperability

Advanced Analytics

Client Testimonial

Outcome-Led, AI-Accelerated Specialist Pods for Value-Based Care

Structured, senior-led pods designed around clearly defined VBC outcomes — accelerated through disciplined AI-enabled delivery workflows.

Longitudinal Patient Intelligence

Unified, measure-ready patient views across EHR, claims, and operational systems — implemented without replacing core product architecture.

Risk & Performance Acceleration

Attribution logic, risk stratification, and predictive workflows designed to improve quality and cost performance in VBC contracts.

Audit-Ready Reporting Infrastructure

Version-controlled quality logic and reporting pipelines aligned to CMS, HEDIS, and FHIR standards.

Production-Grade Interoperability

Structured integration, normalization, and reconciliation of cross-system data to eliminate performance ambiguity.

Care Gap & Measure Execution Layer

Operationalized quality measurement and gap identification embedded into real-world workflows.

Workflow-Integrated Outcome Delivery

Embedding analytics into care coordination and reporting environments to drive measurable impact.
Each pod is structured around a defined performance objective — not billed hours.

Core Capabilities that Power Value-Based Care Platforms

Interoperability & Data Foundations

Focus: Making fragmented healthcare data usable.

Measure & Intelligence Layer

Focus: Formalizing quality, attribution & risk logic.

Workflow & Operational Enablement

Focus: Embedding intelligence into real execution.

Delivered through structured interoperability playbooks & frameworks, standardizing data unification, attribution logic, measure readiness, and integration stabilization.

Everything You’d Want to Know About TechVariable

A little more about what drives us, how we work, and why we do what we do.

TechVariable helps US healthcare teams enable interoperability, data foundations, and analytics workflows for Value-Based Care use-cases.

Our work typically includes integrating clinical and claims data, normalizing it using healthcare standards, and enabling downstream analytics and workflows for care gaps, quality measures, care coordination, risk stratification, and CMS-aligned programs.

We work best with:

• Healthcare technology and product companies

• Value-Based Care enablement platforms

• Analytics and data platforms operating in healthcare

• Organizations supporting CMS-aligned or VBC programs

If your product or service depends on trusted clinical and claims data, we are usually a strong fit.

Our primary focus is US healthcare.

Our domain expertise, delivery practices, and frameworks are built specifically for healthcare interoperability, data engineering, and regulated environments.

No.

We are a technology enablement and services partner.

We do not sell a packaged platform. We work with your team to design and implement the data, interoperability, analytics, and workflow capabilities needed for your specific use-case.

Interoperability enablement means making healthcare data usable and trustworthy across systems, not just moving data from point A to point B.

In practice, this includes:

• Integrating data across EHRs, claims systems, and operational tools

• Normalizing data using standards like FHIR, HL7v2, CDA, and terminologies

• Preparing analytics-ready datasets for downstream workflows and reporting

Interoperability is the foundation that enables Value-Based Care use-cases to function reliably.

Most engagements start with a short discovery phase to align on:

• Data sources and standards in scope

• Target use-cases and workflows

• Constraints, risks, and success criteria

From there, we propose an execution plan with clear milestones, sprint cadence, and delivery ownership.

We provide an initial range based on scope and complexity, then refine it after discovery.

Healthcare integrations often vary widely based on data quality, system constraints, and standards implementation. We plan and price with explicit assumptions to avoid surprises later.

We typically work in two models:

• Dedicated Pod Model

A cross-functional team delivering on a sprint cadence.

• Fixed Scope / Fixed Price

Used when requirements and acceptance criteria are clearly defined.

We’ll recommend the model that best fits the use-case and delivery risk.

Yes.

We can assess your current architecture, codebase, data pipelines, and integrations, then propose a stabilization and recovery plan. Our initial focus is restoring reliability, observability, and trust before expanding scope.

“Done” means the system is operationally reliable, not just deployed.

That typically includes:

• Predictable data pipelines

• Normalized and governed datasets

• Traceable logic and outputs

• Downstream teams able to use the system without constant manual reconciliation

TechVariable's Health-Tech Resource Hub

Explore expert videos, podcasts, blogs, and whitepapers designed to help healthcare leaders stay ahead of industry trends and innovations.

A Framework for Unified Data in Medicare Advantage

Medicare Advantage has outgrown the legacy data infrastructure that many payers still rely on. Fragmentation is now a strategic risk that threatens compliance, revenue, and growth. This paper lays out the architectural framework and implementation roadmap to eliminate silos and build a Single Source of Truth.

Reimagining Population Health Management

Healthcare organizations are drowning in data yet starving for insight. Despite billions invested in analytics and care coordination, most population health programs plateau because they rely on retrospective, rule-based risk segmentation. Machine learning and agentic AI represent the bridge between prediction and action, transforming fragmented data into personalized, scalable care that meets patients where they are.

The Healthcare Leader's Perspective

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