DesignWorks, Author at IMAT Solutions - Page 7 of 38

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Author: DesignWorks

21 Jun MSSP ACOs: Meet 2025 Deadline for APP Quality Measures Reporting

Posted at 19:55h in Uncategorized by DesignWorks 0 Comments

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Now is the time for all Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) to get prepared for the CMS-mandated 2025 deadline for reporting either eCQMs or CQMs for all patients, payers and health practices. As part of the Quality Payment Program (QPP), CMS will be sun setting the Web Interface reporting method to complete MIPS requirements in 2025. This year and through 2024, only MSSP ACOs can continue to use the CMS Web Interface...

19 Jun Health Data News Roundup: AI Effectiveness Comes Down to Quality Data; AI Oversight Needed; and Medicare Advantage Overpayments

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. The Effectiveness of AI Guidance for Health Systems is...

14 Jun The Effectiveness of AI Guidance for Health Systems is Directly Dependent on the Quality of the Data

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

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While there’s a current mad rush in the development of Artificial Intelligence (AI) solutions for the healthcare arena, health payers and health systems may want to step back and truly assess before implementing these kinds of offerings. As we have seen lately in the mainstream media, Generative AI models, such as ChatGPT, are known to generate mistakes or “hallucinations.” Just last week, a lawyer got into trouble for using ChatGPT for a court filing that...

12 Jun Health Data News Roundup: MA Advantage Risk Adjustment Model Accuracy; Humana Opens 250th Primary Care Center; and Blue Cross MA Expands Mental Health Resources

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 Risk Adjustment Model Accuracy May Vary By...

05 Jun Health Data News Roundup: Boosting Medicare Advantage; Aetna SDOH Effort; and Unique Payer-Provider Partnership

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. Boosting Medicare Advantage Can Improve Health Care Quality and...

30 May How to Address Medicare Advantage Care Quality Issues

Posted at 10:00h in Payers by DesignWorks 0 Comments

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A new study has shed light on the importance of gathering more clinical data to evaluate the quality of care received by Medicare Advantage beneficiaries, particularly those with serious illnesses. In a recent article published in the New England Journal of Medicine, researchers highlighted the lack of available data concerning the quality of care and the utilization of supplemental benefits, which are commonly used by individuals with significant health conditions. The researchers also expressed reservations about the...

30 May Health Data News Roundup: Medicare Advantage Care Quality Research Needed; Payers Ranked By Medicaid Membership; and AI Will Not Replace Jobs

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. More Research Needed on Medicare Advantage Care Quality Data is missing...

22 May Health Data News Roundup: AI Bias in Healthcare; ACA Preventive Care Compliance; and Medicare Advantage Regulatory Showdown

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. WHO Warns Against Bias, Misinformation in Using AI in...

15 May Health Data News Roundup: Payers Embracing AI; Humana and Longevity Health Plan Partnership; and Best Practices for Medicaid Redeterminations

Posted at 14:44h 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. Humana Seeks to Improve Medicare Advantage Specialty Needs Benefits Medicare...

08 May Health Data News Roundup: CMS Update on National Quality Strategy Goals; Half of Medicare Beneficiaries Enrolled in Medicare Advantage; and MiHIN 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 Officials Provide Update on National Quality Strategy Goals CMS...