02 May Health Data News Roundup: CMS Bringing Digital Quality Measurement to Life; BCBSA and Health Equity; and Humana and SDOH

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.

CMS Bringing Digital Quality Measurement to Life
At the recent CMS Quality Conference 2022, the Centers for Medicare & Medicaid Services (CMS) unveiled its plan to transition all quality measures used in its reporting programs to digital quality measures (dQMs).

BCBSA Outlines Next Steps for Health Equity Data Standardization
Blue Cross and Blue Shield Association (BCBSA) and the Blue Cross and Blue Shield companies have urged the healthcare industry to adopt national health equity data collection standards.

CA Medicaid Plan Seeks to Streamline Pay for Performance Model
CenCal Health, a Medicaid plan in California, is employing a pay for performance model to improve quality of care, called the Quality Care Incentive Program.

Employer Sponsored Health Plan Trends in High Enrollment States
AHIP has released an overview of employer-sponsored health plan coverage across all 50 states and the District of Columbia, with California, Texas, and New York seeing the highest populations of employer-sponsored health plan enrollees.

Humana Outlines Social Determinants of Health Industry Progress
Payers, providers, and policymakers have taken a variety of approaches to social determinants of health data collection and interventions, according to an issue brief from Humana.

A Fragmented EHR Market is Fueling Interoperability Divide, ONC Study
Researchers from the Office of the National Coordinator for Health IT found substantial differences between solo and large-practice physicians when it came to data exchange capabilities.

CAQH CORE Releases Guidelines to Improve Information Exchange
CAQH CORE, the author of national operating rules for the HIPAA-covered administrative transactions, recently released new operating rules to enhance information exchange and healthcare operations related to benefits coverage and supplemental documentation.