Author: DesignWorks

15 Apr CMS Medicare Advantage Star Ratings Overhaul: What It Means for Data, Quality, and Performance

Posted at 09:00h in Health Payers, Medicare Advantage by DesignWorks 0 Comments

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By Mark Coetzer, VP of Business Development at IMAT Solutions Top Takeaways • CMS is shifting Star Ratings toward clinical outcomes, reducing the weight of administrative and process-based measures. • 11 measures are being removed, signaling the end of “box-checking” as a driver of performance. • Data quality and clinical accuracy will now directly impact Star Ratings and reimbursement. • Behavioral health is gaining importance, with new measures like depression screening being introduced. • Plans must improve...

13 Apr Health Data News Roundup: MA Star Ratings Overhaul; Payer-to-Payer Exchange Fails; and MSSP ACO Tipping Point

Posted at 09:00h in Health Data News Roundup by DesignWorks 0 Comments

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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 Finalizes Medicare Advantage Star Ratings Overhaul, Sending Billions...

08 Apr MSSP ACO APP Reporting: The Digital Tipping Point for Full Population Data and Performance

Posted at 09:00h in Hospitals and Clinics by DesignWorks 0 Comments

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The transition to APP quality reporting marks a major shift for MSSP ACOs, moving from manual sampling to full population, all-payer reporting. While this enables more accurate and timely performance measurement, it also exposes significant challenges around data quality, interoperability, and patient matching. ACOs that invest in real-time data aggregation, normalization, and validation will be best positioned to succeed in this new era of digital quality measurement. For years, Accountable Care Organizations operated in a world...

06 Apr Health Data News Roundup: CMS ASPIRE and ACOs; HSS Reorganization; and ACA Enrollment for 2026

Posted at 09:00h in Health Data News Roundup by DesignWorks 0 Comments

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01 Apr The Shift to Digital Quality Measures: What CMS’s Next Move Means for Healthcare Data

Posted at 09:00h in Hospitals and Clinics by DesignWorks 0 Comments

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By Mark Coetzer, VP of Business Development at IMAT Solutions CMS and NCQA are accelerating the transition to digital quality measures, moving healthcare away from manual reporting and toward automated, data-driven performance measurement. While this shift promises better alignment, reduced administrative burden, and more timely insights, it also exposes persistent challenges around data quality, interoperability, and standardization. Organizations that invest in strong, unified data foundations will be best positioned to succeed in this next phase of...

30 Mar Health Data News Roundup: EHR Giants Embrace AI; CMS Standard for Claims Data; and MA Plan Automatic Enrollment

Posted at 09:00h in Health Data News Roundup by DesignWorks 0 Comments

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25 Mar Bulk FHIR and the Next Phase of Data Exchange in Healthcare

Posted at 09:00h in Hospitals and Clinics by DesignWorks 0 Comments

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By Mark Coetzer, VP of Business Development at IMAT Solutions Bulk FHIR is emerging as a critical capability for population-level data exchange, enabling healthcare organizations to move large datasets more efficiently. While Bulk Data Export has focused on pulling data, new concepts like Bulk Submit introduce a standardized way to push data across systems. As discussed at HIMSS 2026, these advancements signal progress in interoperability, but also reinforce the need for data normalization, validation, and governance....

23 Mar Health Data News Roundup: Cost Savings and AI; Interoperability Gaps in Care; and New ACO Partnership

Posted at 09:00h in Health Data News Roundup by DesignWorks 0 Comments

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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. Experts Weigh Cost-Saving Promises of AI in Healthcare Against Risk...

18 Mar Interoperability in 2026: Progress, Gaps, and What It Means for Closing Care Gaps

Posted at 09:00h in Hospitals and Clinics by DesignWorks 0 Comments

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By Mark Coetzer, VP of Business Development at IMAT Solutions Healthcare interoperability is advancing in 2026, driven by FHIR adoption, CMS initiatives, and increased data exchange across networks. However, data quality, fragmentation, and inconsistent EHR structured data implementation continue to limit its impact. As a result, many organizations still struggle to close care gaps and act on insights in real time. The organizations that succeed will be those that move beyond data exchange to data normalization...

16 Mar Health Data News Roundup: Interoperability in 2026; MSSP ACOs and APP Quality Reporting; and Amazon Healthcare AI Assistant

Posted at 09:00h in Health Data News Roundup by DesignWorks 0 Comments

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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. Where Healthcare Stands on Interoperability in 2026: Progress and...