Author: DesignWorks

20 Jul Top Five AI Use Cases for Health Payers

Posted at 16:45h in Payers by DesignWorks 0 Comments

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For health payers, determining the most effective AI use cases for driving innovation investments has become a rapid and critical priority in 2023. To help health payers CIOs gain a fuller picture on the possibilities and priorities in AI, Gartner recently published its “Infographic: Artificial Intelligence Use Case Prism for the U.S. Healthcare Payer Industry.” Click here to access the report. (Gartner subscription required). Following are the top five AI use cases for health payers from...

17 Jul Health Data News Roundup: Health Payers’ Perceptions of AI; Identifying Providers for High-Performing Networks; and Payers Need More Data to Optimize Patient Outcomes

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Welcome to the Health Data Weekly News Round Up 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. Health Payers: Generative AI Will Significantly Impact the Industry Health...

12 Jul Health Payers: Generative AI Will Significantly Impact the Industry

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Without a doubt, 2023 is the year of Artificial Intelligence (AI), and the healthcare arena is squarely in the center of it all. While there’s been plenty of press coverage around patient acceptance of AI, there’s much more to be explored around AI and health payers. Gartner recently issued a study titled, “2Q23 LLMs and Generative AI: U.S. Healthcare Payer Perspectives,” which captures heath payers’ perceptions around large language models (LLMs) and Generative AI....

10 Jul Health Data News Roundup: How Elevance Health and MVP Health Care Use Data; Improving Race and Ethnicity Data Collection; and Patient’s Views on AI

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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. How Elevance Health, MVP Health Care Are Leveraging Data...

03 Jul Health Data News Roundup: Data on MA Supplemental Benefits Lacking; UnitedHealthcare Boosts Virtual Care; and BCBSA Invests in Youth Mental Health Crisis

Posted at 09:00h in Payers 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. Medicare Advantage Plan Payment Cuts Did Not Impact Enrollment...

26 Jun Health Data News Roundup: Meeting APP Quality Measures Reporting Deadline; Medicare Advantage Overpayments; and Improve MA Star Ratings with Behavioral Science

Posted at 09:00h in Payers 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. MSSP ACOs: Meet 2025 Deadline for APP Quality Measures...

21 Jun MSSP ACOs: Meet 2025 Deadline for APP Quality Measures Reporting

Posted at 19:55h in Uncategorized by DesignWorks 0 Comments

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Now is the time for all Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) to get prepared for the CMS-mandated 2025 deadline for reporting either eCQMs or CQMs for all patients, payers and health practices. As part of the Quality Payment Program (QPP), CMS will be sun setting the Web Interface reporting method to complete MIPS requirements in 2025. This year and through 2024, only MSSP ACOs can continue to use the CMS Web Interface...

19 Jun Health Data News Roundup: AI Effectiveness Comes Down to Quality Data; AI Oversight Needed; and Medicare Advantage Overpayments

Posted at 09:00h in Payers 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. The Effectiveness of AI Guidance for Health Systems is...

14 Jun The Effectiveness of AI Guidance for Health Systems is Directly Dependent on the Quality of the Data

Posted at 09:00h in Uncategorized by DesignWorks 0 Comments

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While there’s a current mad rush in the development of Artificial Intelligence (AI) solutions for the healthcare arena, health payers and health systems may want to step back and truly assess before implementing these kinds of offerings. As we have seen lately in the mainstream media, Generative AI models, such as ChatGPT, are known to generate mistakes or “hallucinations.” Just last week, a lawyer got into trouble for using ChatGPT for a court filing that...

12 Jun Health Data News Roundup: MA Advantage Risk Adjustment Model Accuracy; Humana Opens 250th Primary Care Center; and Blue Cross MA Expands Mental Health Resources

Posted at 09:00h in Payers 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. Medicare Advantage Risk Adjustment Model Accuracy May Vary By...