Transforming Chaos Into Clarity

In today’s healthcare landscape, fragmented data is a persistent obstacle. For Health Data Innovations (HDI), this challenge is core to its mission. Led by President Jonathan Kaye and COO Bonnie Cassidy, HDI focuses on claims data integration — an often overlooked but crucial element in value-based care success.

HDI was born from a single Blues plan’s need to onboard external data faster to support care management. That early need blossomed into a full-service platform specializing in transforming disparate claims data — including medical, pharmacy, eligibility, and attribution — into standardized, actionable information.

Why Claims Data Matters

While EMRs are central to clinical operations, they often lack data on out-of-network care or services paid by other entities. That’s where claims data becomes essential. As Kaye explained, “The financials and full patient picture — especially for risk-based contracts — exist in claims data.”

Cassidy added, “If providers don’t ingest and standardize these claims, they’re relying entirely on payers to report the right dollars and members. That’s a fiduciary risk.”

Making the Data Work

Integrating claims data isn’t just about importing files. Each payer — from CMS to Aetna — has its own structure, constantly changing formats, and rules around denials, reversals, and adjustments. HDI addresses this with front-end standardization and tools honed over 15 years.

The goal: enable consistent analytics regardless of source. As Kaye put it, “You want to ask how many readmissions occurred in 30 days without retooling that query for each payer.”

Trust, Experience, and Scale

With repeat clients and referrals from partners like Epic, HDI’s reputation speaks volumes. “Sometimes people forget how hard this is because we make it look easy,” said Cassidy.

HDI’s biggest wins often come from former clients who bring them into new roles. Their pitch is simple: “Call HDI — they’ll solve it.”

What’s Next for HDI

There’s no pivot, just scale. HDI is extending its platform to send standardized data to multiple downstream systems like Arcadia, Milliman, and Tuva. “Clients want to control their data and avoid redundant integrations,” said Cassidy.

As point solutions grow and provider networks expand, HDI’s ability to send one clean dataset to multiple destinations is increasingly valuable.