Velox Payer Survey

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* 1. General: How many members do(es) your plan(s) service?

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* 2. General: Which lines of business are you in? (Select all that apply)

Commercial

Medicare Advantage

Medicaid

Other (please specify)

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* 3. General: How many markets/states do you operate in?

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* 4. General: How many individual plans do you have across markets and LoBs?

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* 5. External: How many data feeds (flat file, CCD, CCDA, FHIR, other) do you maintain across all these plans?

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* 6. External: How much do you spend per year on getting the data (just data acquisition fees, not including any labor, operations and infrastructure spend for setup and maintenance) - in USD

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* 7. External: What is the AVERAGE lag time for data (from day/time of encounter)? (Select One)

<1 day

1 - 5 days

5 - 10 days

10 - 30 days

31 - 60 days

60 - 90 days

>90 days

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* 8. External: What use cases do you use the data for?

Quality Reporting

Quality Improvement (incl. gaps closure)

Risk Adjustment

Care Management/Coordination

Population Health

Patient Outreach

Provider Outreach

Provider Communication

Fraud/Waste/Abuse

Other (please specify)

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* 9. Internal: Do you have an internal clinical data integration (CDI) platform/approach in place?

Yes

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* 10. Internal: What percentage of data are you currently converting to FHIR internally? (%age - Number Entry, 0 - 100)

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* 11. Next Steps: We will generate a generic assessment based on the information you provide. We will email that to you. We will not use your contact information to follow-up and spam you unless you explicitly want us to.

Name/Title

Company

Email Address

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* 12. I want to receive follow-up communication from Velox Health Metadata, Inc. after I receive the assessment results

Yes