Author: DesignWorks

26 Oct The IMAT Flexible Payer Solution: Enabling Dynamic Business Use Cases for Health Payers

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

1 Like

With a core focus on better orchestration of member care, today’s health payers are presented with the opportunity to leverage key digital platforms for providing better care, while also achieving key cost-savings. In order to fully understand how innovative digital platforms can help, it’s always best to illustrate the “art of what’s possible” through dynamic business use cases. Fortunately, the IMAT Flexible Payer Solution, which is a one-stop-solution for health payers to gain optimal results from their...

24 Oct Health Data News Roundup: IMAT DaaS Solution Enhances Star Ratings; UPMC Digital Health Most Wired; and Health Equity and UnitedHealthcare

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

0 Likes

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 Star Ratings Declined for 2023 Earlier this month,...

19 Oct Medicare Advantage Star Ratings Declined for 2023

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

1 Like

Enhance Star Ratings with the IMAT Flexible Payer Solution With the goal of providing consumers a way to compare health plans, the Medicare Advantage Star Ratings measure the quality of health and drug services received by individuals enrolled in Medicare Advantage (MA) and Part D plans. Earlier this month, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which found an overall decline in ratings when compared to 2022. In fact, 57 contracts earned five...

17 Oct Health Data News Roundup: Humana and UnitedHealthcare Score High in CMS Star Ratings; The Sequoia Project and TEFCA; and Interop Challenges

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

1 Like

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 the Biggest Payers' Medicare Advantage Plans Fared in...

10 Oct Health Data News Roundup: IMAT’s DaaS Platform Enhances Compliance; SDOH Data Collection and the White House; and Sunflower Health Plan News

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

0 Likes

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. IMAT DaaS Platform: Helping Payers Make Data Compliance a...

05 Oct The IMAT Flexible Payer Solution: Helping Payers Make Data Compliance a Strategic Imperative

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

8 Likes

While complying with the CMS Interoperability and the Patient Access API mandate is a priority for health payers, few are viewing data compliance overall as a strategic imperative. Much of this comes down to the challenges of achieving compliance on many current and emerging mandates, which include CMS Star ratings, HEDIS reporting, investment in FHIR R4 capabilities, as well as emerging CMS digital quality measures (dQMs). For example, health payers are challenged with the following administrative burdens...

03 Oct Health Data News Roundup: IMAT’s DaaS Platform Boosts Payer Revenue; Data Drives Value-Based Care and Population Health; and CHIME News

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

0 Likes

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 Health Payers Can Enhance Revenue with IMAT’s DaaS Platform The...

29 Sep How Health Payers Can Enhance Revenue with the IMAT Flexible Payer Solution

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

6 Likes

For health payers, managing costs continues to be a major priority. According to a recent study, nearly 50 percent of payers stated cost management was a significant challenge, and over 40 percent need to enhance operational efficiencies. In addition, chart chasing continues to be the most-used method that allows health plans to improve HEDIS measures and Medicare Star ratings. This costly and frustrating effort often involves health plans employing medical coders to review thousands of charts...

26 Sep Health Data News Roundup: NCQA Shares Health Plan Performance Ratings; IMAT DaaS Platform Boosts Revenue for Payers; and Interoperability Updates

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

0 Likes

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. IMAT DaaS Platform: Helping Payers Boost Revenue, Achieve Compliance...

20 Sep The IMAT Flexible Payer Solution: Helping Payers Boost Revenue, Achieve Compliance and Enhance Member Care

Posted at 17:12h in Payers by DesignWorks 0 Comments

2 Likes

For health payers, being able to leverage clinical data in ways that enhances overall member care, boosts revenue, while also meeting reporting and compliance mandates, can be a daunting challenge. In addition, to achieve true digital transformation there needs to be a clear path to return-on-investment (ROI), as well as member care improvements, when implementing new innovations. Conversely, payers often have a difficult time achieving key business goals when technology adoption can be slow – highlighting the...