09 Mar Health Data News Roundup: Stable 2020 for Payers; HIEs and Rural Expansion; and IMAT Attending the RISE Conference

Welcome to the Health Data Weekly News Roundup from IMAT Solutions. As the power of data continues to grow in the healthcare arena, today’s care organizations need to be on the forefront of all news and trends to help ensure that their data analytics efforts deliver accountable and informed care. Each week, we will provide you with the actionable news you need to meet these goals.

Health Payer Segments to Stay Profitable, Face Tighter Margins
The Best’s Market Segment Report has projected tighter margins but an overall stable outlook for 2020 for most health payer segments.

Social Determinants of Health Limited by Low EHR Interoperability
Health systems are attempting to implement social determinants of health (SDOH) into patient’s health records. Yet, most health systems are facing issues, such as interoperability, when attempting to incorporate SDOH into their respective EHRs.

How CMS Can Standardize Prior Authorization Using MA Star Ratings
The Medical Group Management Association (MGMA) urged CMS to pursue greater transparency in Medicare Advantage plans’ prior authorization requirements, increase the automation of the prior authorization process, and leverage Medicare Advantage (MA) star ratings to alleviate prior authorization burdens.

Action Needed for Social Determinants of Health, Health Equity
The healthcare industry and individual communities are doing important work to address the social determinants of health, but more work is needed to fully drive health equity across disparate populations, according to a new report.

How Social Determinants of Health Impact Pediatric No-Show Rates
More research about the social determinants of health in pediatric settings will be necessary to improve patient no-show rates for well-child visits, according to the Annals of Family Medicine.

How HIEs Are Promoting Interoperability for Rural Providers
From natural disasters to under-populated hospitals, rural providers are facing the challenges and getting the help they need from their local HIEs.

HIMSS20 Organizers Step Up On-Site Preparedness for Coronavirus as Major Exhibitors Back Out
In the face of the Coronovirus pandemic, HIMSS20 is still happening this week, though some major exhibitors have backed out, and it will be a “handshake-free” conference.

RISE Nashville 2020: Providing Health Data Clarity and Confidence
At the upcoming RISE Conference in Nashville, IMAT Solutions will be showcasing how its NCQA-certified platform addresses the challenge of managing, normalizing and querying huge data sets in real-time, enabling users to access structured and unstructured patient information.