Author: DesignWorks

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

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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

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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...

05 Jun Health Data News Roundup: Boosting Medicare Advantage; Aetna SDOH Effort; and Unique Payer-Provider Partnership

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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. Boosting Medicare Advantage Can Improve Health Care Quality and...

30 May How to Address Medicare Advantage Care Quality Issues

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A new study has shed light on the importance of gathering more clinical data to evaluate the quality of care received by Medicare Advantage beneficiaries, particularly those with serious illnesses. In a recent article published in the New England Journal of Medicine, researchers highlighted the lack of available data concerning the quality of care and the utilization of supplemental benefits, which are commonly used by individuals with significant health conditions. The researchers also expressed reservations about the...

30 May Health Data News Roundup: Medicare Advantage Care Quality Research Needed; Payers Ranked By Medicaid Membership; and AI Will Not Replace Jobs

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. More Research Needed on Medicare Advantage Care Quality Data is missing...

22 May Health Data News Roundup: AI Bias in Healthcare; ACA Preventive Care Compliance; and Medicare Advantage Regulatory Showdown

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. WHO Warns Against Bias, Misinformation in Using AI in...

15 May Health Data News Roundup: Payers Embracing AI; Humana and Longevity Health Plan Partnership; and Best Practices for Medicaid Redeterminations

Posted at 14:44h 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. Humana Seeks to Improve Medicare Advantage Specialty Needs Benefits Medicare...

08 May Health Data News Roundup: CMS Update on National Quality Strategy Goals; Half of Medicare Beneficiaries Enrolled in Medicare Advantage; and MiHIN News

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. CMS Officials Provide Update on National Quality Strategy Goals CMS...

04 May Updated CMS National Quality Strategy to Focus More on Digital Data

Posted at 01:47h in Payers by DesignWorks 0 Comments

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The Center for Medicare and Medicaid Services (CMS) National Quality Strategy focuses on promoting quality outcomes, safety, equity, and accessibility for all individuals, especially those in underserved communities. Originally launched a year ago, CMS officials recently discussed updates to the National Quality Strategy at the 2023 CMS Quality Conference. These updates include increasing the percentage of digital measures used in CMS quality programs, as well as leveraging the FHIR data standard. In particular, CMS is placing a...

01 May Health Data News Roundup: Humana and Food Insecurity; Medicaid Redeterminations News; and Rural Hospital HIE Use Lags

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. Humana Funds UNF Program Expansion to Address Food Insecurity Humana...