05 Oct The IMAT Flexible Payer Solution: Helping Payers Make Data Compliance a Strategic Imperative

While complying with the CMS Interoperability and the Patient Access API mandate is a priority for health payers, few are viewing data compliance overall as a strategic imperative.

Much of this comes down to the challenges of 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).

For example, health payers are challenged with the following administrative burdens for meeting key HEDIS requirements:

• Inability to gain access to the appropriate quality clinical data
• Designing quality reporting scores
• The lack of health IT adoption for reporting HEDIS scores among providers
• Low preventive screening rates among provider networks

Fortunately, the IMAT Flexible Payer Solution is an easy-to-use, one-stop-solution for health payers to not only gain optimal results from their data for revenue generation, but also for meeting key compliance mandates.

When it comes to meeting HEDIS requirements, IMAT Solutions has earned the Validated Data Stream designation in the new National Committee for Quality Assurance (NCQA) Data Aggregator Validation (DAV) program.

Leveraging the consensus-based HEDIS audit process to prospectively validate clinical data flows, this validation promotes trust in aggregated clinical data assets — and in the insights drawn from these data sources. It is a boost for value-based contracting and, in combination with new federal technology standards, makes many of its core features truly routine.

The DaaS solution’s FHIR API capabilities also meet the CMS enforcement for payers to support the payer-to-patient API. This removes the burden from payers to fund and implement the required interoperability, which can be very costly and strain internal IT resources.

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

Are you ready to make health data compliance a strategic imperative? Please contact us to learn more about the IMAT Flexible Payer Solution for health payers.