Avalere·January 27, 2025

Health Plans Face Strategic Choices on Enterprise Data Integration by 2030

Avalere and Tenasol argue that health plans currently operate fragmented data systems that create technical debt and compliance risks while missing opportunities for quality improvement. The analysis projects that plans will need enterprise-level data strategies integrating expanded sources—including social determinants of health data and electronic medical records—with emerging technologies to drive operational efficiency. While the piece addresses all health plans generically, Medicaid managed care organizations face particular pressure to integrate SDOH data and demonstrate quality outcomes under state contracts.

Managed Care

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This is outside commentary from Avalere, not part of Medicaid Monitor's independently scored news coverage.