20 Sep The IMAT Flexible Payer Solution: Helping Payers Boost Revenue, Achieve Compliance and Enhance Member Care

For health payers, being able to leverage clinical data in ways that enhances overall member care, boosts revenue, while also meeting reporting and compliance mandates, can be a daunting challenge.

In addition, to achieve true digital transformation there needs to be a clear path to return-on-investment (ROI), as well as member care improvements, when implementing new innovations.

Conversely, payers often have a difficult time achieving key business goals when technology adoption can be slow – highlighting the need for the business and technology stakeholders to be fully and strategically aligned with an enterprise Clinical Data Integration (CDI) solution.

On top of this, achieving compliance on many current and emerging mandates, which include CMS Star ratings, HEDIS reporting, investment in FHIR R4 capabilities, as well as emerging CMS digital quality measures (dQMs), can also be a challenge.

Fortunately, the IMAT Flexible Payer Solution is an easy-to-use, one-stop-solution for health payers to gain optimal results from their data for revenue generation, while also meeting key compliance mandates.

Four key benefits of the IMAT Flexible Payer Solution for health payers:

Boost Revenue: Reducing medical chart chasing, as well as the ability to identify member health conditions earlier, and boost overall population health efforts through detailed patient trend insights, leads to revenue-growth opportunities.

Better Orchestration of Member Care: Leverage data for enhancing overall member care outcomes by having quality aggregated clinical data delivered on a more timely basis, as well as increase care and disease management program eligibility.

Achieve Compliance: Our Fast Interoperability Healthcare Resources (FHIR) API capabilities support the CMS enforcement for Payers to support the payer-to-patient API.

Continual Cost-Savings: Improve overall QHP rating accuracy, which can shorten the overall identification cycle and provide ongoing savings opportunities. In addition, it enhances HEDIS scores and improves risk adjustments efforts, which also leads to savings.

Clinical Data Integration (CDI) is the foundation for achieving these outcomes. IMAT Solutions was recently highlighted as a CDI vendor Gartner’s “Clinical Data Integration Capabilities and Sourcing Recommendations for U.S. Healthcare Payers” report.

Are you ready to improve the usability and quality of all clinical data for enhancing care outcomes, minimizing risk and boosting revenue? Please contact us to learn more about the IMAT Flexible Payer Solution for health payers.