29 Sep How Health Payers Can Enhance Revenue with the IMAT Flexible Payer Solution

For health payers, managing costs continues to be a major priority. According to a recent study, nearly 50 percent of payers stated cost management was a significant challenge, and over 40 percent need to enhance operational efficiencies.

In addition, chart chasing continues to be the most-used method that allows health plans to improve HEDIS measures and Medicare Star ratings. This costly and frustrating effort often involves health plans employing medical coders to review thousands of charts – an all-too-cumbersome and expensive exercise.

Being able to effectively identify member health conditions in a timely manner for risk adjustment effort is also a key priority, and another potentially cost-savings endeavor for payers.

Thankfully, the IMAT Flexible Payer Solution allows payers to leverage clinical data in ways that boost overall revenue and drive continual cost-savings. For example, your aggregated member data becomes a curated clinical digital asset for prioritized use cases, thereby reducing overall medical chart chasing.

The solution also provides the ability to identify member health conditions earlier, while also boosting overall population health efforts through detailed patient trend insights. By enhancing overall population health programs, payers can ultimately save more money with reduced payouts because of better care outcomes.

The foundation of the IMAT Flexible Payer Solution leverages an industry standard Clinical Data Integration (CDI) framework, which encompasses the ingestion and handling of interoperable clinical data into the payer environment.

In fact, MAT Solutions was recently highlighted as a CDI vendor in Gartner’s “Clinical Data Integration Capabilities and Sourcing Recommendations for U.S. Healthcare Payers” report. As highlighted in the report, effective CDI is a critical capability for building the data fabric that supports composable business opportunities.

Are you ready to minimize risk and boost revenue? Please contact us to learn more about the IMAT Flexible Payer Solution for health payers.