Author: DesignWorks

03 Mar RISE Nashville 2020: Providing Health Data Clarity and Confidence

Posted at 19:11h in Payers by DesignWorks 0 Comments

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Back for its fourteenth consecutive year, RISE Nashville 2020 is the must-attend mega-conference for professionals of all levels in the Medicare Advantage and ACA market. The event will gather health plan and physician group leaders who will be addressing a wide-range of issues and trends – including risk adjustment, HCC coding, CMS policy updates, improving provider engagement, and advanced data analytics for payers. In booth #225 in Hall H2488, IMAT Solutions will be showcasing how its NCQA-certified...

02 Mar Health Data News Roundup: ONC Interoperability Debate; Combating EHR Clinician Burden; and HASA News

Posted at 09:00h in ACOs, HIEs, Hospitals and Clinics, 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. Debate Over ONC Interoperability Rule Roils Onward Leaders at the University...

26 Feb Natural Language Processing (NLP) Driving SDOH Adoption

Posted at 20:27h in Payers by DesignWorks 0 Comments

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While social determinants of health (SDOH) efforts have risen in importance for payers and providers, there are still barriers to full adoption. According to a recent Health IT Analytics article, collecting patient data and ensuring that all information is representative of whole populations remains a challenge. In addition, many providers lack the time and resources to draw meaningful, actionable conclusions from social determinants data. The article highlighted a 2017 study from Massachusetts General Hospital (MGH) that pointed to how...

24 Feb Health Data News Roundup: GAO and Medicaid Eligibility Inaccuracies; SDOH Data Challenges; and HIE Integration Cuts ED Visits

Posted at 09:00h in ACOs, HIEs, Hospitals and Clinics, 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. GAO Reveals Medicaid Eligibility Inaccuracies, Recoup Strategies The Government Accountability Office...

19 Feb Data to Drive Health Payer Consumerism in 2020

Posted at 22:09h in Payers by DesignWorks 0 Comments

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At the tail end of 2019, PricewaterhouseCoopers (PwC) stated that consumerism will play greater role in how payers make deals, use technology, hire, pursue equity, and spend in 2020. On the heels of this study, a new report found that data sharing, Social Determinants of Health (SDOH), and simpler language will all drive how payers embrace consumerism this year. The report highlighted how payers are sharing patient satisfaction scores, HEDIS and star ratings, as well as health...

18 Feb Health Data News Roundup: Payer Consumerism and Data; Cigna Strategic Partnerships; and Patient Matching Issues

Posted at 09:00h in ACOs, HIEs, Hospitals and Clinics, 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 Consumerism Strategies Rely on Data, SDOH, Simpler Language Data sharing,...

12 Feb Improving Claims Data Access to Advance Value-Based Care

Posted at 21:09h in Payers by DesignWorks 0 Comments

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Access to claims data not only helps providers deliver better care, but it additionally empowers the patient. Patient access to claims data will lead to better conversations with their providers and subsequently lead to better health outcomes. Access to data also ensures more accountability between the provider and the payer regarding a patient’s care. Both the payer and the provider have an obligation to ensure the best health outcomes for the patient, and timely data-sharing...

10 Feb Health Data News Roundup: Humana Foundation and SDOH; AHIP and HHS Price Transparency; and ACA Insurance Gains

Posted at 09:00h in ACOs, HIEs, Hospitals and Clinics, 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 Foundation Allots $7.6M to Social Determinants of Health The Humana...

05 Feb SDOH Leader: UPMC Health Plan’s New Social Impact Initiative

Posted at 18:48h in Payers by DesignWorks 0 Comments

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As we highlighted last month, 2020 is already shaping up to be the year of Social Determinants of Health (SDOH) for health payers. In this blog post, we discuss how University of Pittsburgh Medical Center (UPMC) Health Plan’s Social Impact effort will translate the work of its unique payer-provider laboratory into evidence-based practice and policy change for improving health care quality and efficiency. “The goal of UPMC Social Impact is to help meet the health, socioeconomic, and...

03 Feb Health Data News Roundup: IMAT Achieves NCQA Certification; Patient Access and ONC Rule; and UPMC and Social Determinants

Posted at 09:00h in ACOs, HIEs, Hospitals and Clinics, 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. IMAT Solutions Achieves NCQA eCQM Certification Last week, we announced that...