Author: DesignWorks

08 Feb How Clinical Health Data Can Help Life Insurance Providers

Posted at 19:21h in Uncategorized by DesignWorks 0 Comments

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In the life insurance sector, actuaries play a critical role in leveraging statistical analysis for developing annuity and life insurance policies for individuals and groups. This involves analyzing and estimating how long someone is expected to live, based on a wide-range of factors – with the goal of minimizing the risk for the life insurance provider. When it comes to analyzing the health of a potential new policyholder, life insurance actuaries typically leveraged data from health...

06 Feb Health Data News Roundup: Medicare Advantage Audit Ruling; Lack of Encounter Data for MA Supplemental Benefits; and Cigna Reduced Care Costs

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. New Medicare Rule Aims to Take Back $4.7 Billion...

02 Feb How to Overcome Health Data Quality and Interoperability Challenges

Posted at 18:51h in Uncategorized by DesignWorks 0 Comments

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IMAT DaaS Solution Provides Access to Clean and Validated Data, While Enhancing Interoperability Capabilities A recent study from Health Gorilla found that poor data quality and information sharing remain a challenge to the vast majority of healthcare systems. More than 130 executive decision-makers across the healthcare ecosystem reported that 60 percent of healthcare systems had duplicative or incomplete data retrieved through health information exchanges. Sixty nine percent of digital health executives also reported gaps in their...

30 Jan Health Data News Roundup: 2023 Medicare Advantage Challenges; Elevance Health to Acquire BCBSLA; and Addressesing Patient Matching Accuracy

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. Why 2023 Could Bring Medicare Advantage Challenges for Payers Upcoming...

23 Jan Health Data News Roundup: Medicare Advantage Tops 30 Million; ONC Releases Draft USCDI Version 4; and DirectTrust 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: 15.9M Enrollees Have Selected ACA Marketplace Plans for...

19 Jan Clinical Data Integration Benefits for Healthcare Payer CIOs

Posted at 18:54h in Payers by DesignWorks 0 Comments

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In today’s competitive business climate, U.S. healthcare payer CIOs want to deliver quick wins for business leaders with actionable insights from a broad range of structured/unstructured and nonstandard clinical data. Therefore, it’s critical to prioritize and implement Clinical Data Integration (CDI) capabilities by evaluating business objectives that take into consideration risk adjustment, quality measurement, and overall member management. Gartner estimates that more than 50 percent of payers will shift their CDI initiatives from projects to enterprise-based approaches...

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

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. 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

Posted at 17:03h in Payers by DesignWorks 0 Comments

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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

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. 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

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