DesignWorks, Author at IMAT Solutions - Page 16 of 43

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Author: DesignWorks

16 Jan Health Data News Roundup: ONC Releases 2023 ISA Reference Edition; BCBSM and Full-Risk Value-Based Care Contracts; and Medicaid Social Determinants of Health

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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. ONC Releases 2023 Interoperability Standards Advisory Reference Edition ONC has...

13 Jan Using FHIR to Jump-Start Clinical Data Integration for U.S. Healthcare Payers

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With the ONC and CMS interoperability mandates that are transforming clinical and administrative data exchange between payers, providers and patients, now’s the ideal time for payers to jump-start enterprise CDI investment to achieve compliance. As such, payers have the opportunity to embrace FHIR as the new common language for health data exchange, as well as tap into key vendors for bringing CDI initiatives to life. These were the key themes of the December 2022 refresh of the...

09 Jan Health Data News Roundup: ACA Enrollment Up 18 Percent; Medicare Advantage Enrollment Growth; and Finalizes 2023 Health IT Accreditation Criteria

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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. Affordable Care Act Marketplace Enrollment Up by 1.8M From...

02 Jan Health Data News Roundup: Independence Blue Cross Value-Based Contract; HHS Standard for Health Data Sharing; and Billing Top Concern for Members

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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. Payer, Provider Value-Based Care Contract Targets Equity, Population Health Independence...

19 Dec Health Data News Roundup: Changes to ACA Enrollment; BCBSA Adds Health Equity Standards; and AI to Streamline the Provider-Payer Relationships

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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. 7 Key Changes to ACA Enrollment, Plan Selection in 2024...

16 Dec Gartner: Customer Experience and Application Modernization Key Payer Priorities in 2023

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

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Gartner recently released its “Top Priorities, Technologies and Challenges for Healthcare Payers in 2023” report (requires a Gartner subscription), which identifies enterprise priorities and tech spending trends for payers in 2023. While growth and technology modernization will be important priorities, enhancing the customer/user experience also topped the list. The report highlights how payers are pausing digital acceleration with a focus on tech optimization to maximize their technology investments. Gartner recommends aligning technology investments to specific goals and...

12 Dec Health Data News Roundup: Payers React to Prior Authorization Proposed Rule; NCQA Introduces Quality Compass Exchange Data File; and Payer 2023 Priorities

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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. Payer, Provider Orgs React to Prior Authorization Proposed Rule Payer...

08 Dec Elevance Health Medicaid Plans Receive NCQA Health Equity Accreditation

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IMAT Solutions helps payers to aggregate clinical data to support health equity efforts Elevance Health recently announced that 21 of its Medicaid plans have achieved health equity accreditation from the National Committee for Quality Assurance (NCQA). As a result, 93 percent of the payer’s 8 million Medicaid members are in a NCQA-accredited plan, which is an industry first. This accreditation is part of Elevance Health’s efforts to advance health equity across all its plans through an approach...

05 Dec Health Data News Roundup: NCQA and Elevance Health Medicaid Plans; BCBS Massachusetts Expands; and Health Equity in the Spotlight

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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. NCQA Confers Health Equity Accreditation on Elevance Health Medicaid...

30 Nov Value-Based Alternative Payment Models Growing in Popularity

Posted at 18:42h in Payers by DesignWorks 0 Comments

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The Health Care Payment Learning and Action Network (LAN) recently released its annual survey that tracks how payers and providers adopt value-based alternative payment models. Designed to understand how today’s healthcare ecosystem is moving away from a system based on volume of service to the value of care provided, the survey found that 40 percent of payers are using value-based alternative payment models. “Value-based models for delivering care are essential for putting the patient first, creating aligned...