DesignWorks, Author at IMAT Solutions - Page 16 of 42

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Author: DesignWorks

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...

28 Nov Health Data News Roundup: States with Highest Healthcare Spending; DirectTrust and EHNAC to Merge; and No Surprises Act Success

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. Top 5 States with the Highest Levels of Healthcare...

21 Nov Health Data News Roundup: Benchmarking State Health Cost Growth; 2022 RI Life Index; and ONC Outlines Health IT Certification Tips

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. How Massachusetts’ Benchmark Impacted Healthcare Cost Growth Massachusetts’ statewide benchmark for...

17 Nov States: Achieve Benchmarks in Peterson-Milbank Program for Sustainable Health Care Costs

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Making healthcare more affordable for residents and employers is a critical priority for many states across the country. Thankfully, there are programs that allow states to track overall costs to better serve citizens. For example, the Peterson-Milbank Program for Sustainable Health Care Costs helps participating states to identify, establish and monitor key healthcare spending trends, and track them against agreed-upon targets. This is achieved through increasing state capacity, soliciting participation from regional stakeholders, addressing cost...

14 Nov Health Data News Roundup: 2023 Star Ratings Impacting Payer Revenue; Medicare Advantage Markets Competition; and Amazon Pharmacy Gaining Traction

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 2023 Star Ratings Impacting Payer Revenue For many...

09 Nov Medicare Advantage 2023 Star Ratings Impacting Payer Revenue

Posted at 20:15h in Payers by DesignWorks 0 Comments

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Enhance Star Ratings Next Year and Boost Revenue with the IMAT DaaS Solution In October, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which showed a marked decline in overall ratings from last year. For many health payers, the decline in 2023 Star Ratings has a direct impact on revenue growth. During a number of their third quarter earnings calls, some of the largest health payers discussed how they are going to boost their...