Payers Archives - IMAT Solutions

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Payers

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

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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

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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

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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

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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...

09 Jan Health Data News Roundup: ACA Enrollment Up 18 Percent; Medicare Advantage Enrollment Growth; and Finalizes 2023 Health IT Accreditation Criteria

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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...

19 Dec Health Data News Roundup: Changes to ACA Enrollment; BCBSA Adds Health Equity Standards; and AI to Streamline the Provider-Payer Relationships

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. 7 Key Changes to ACA Enrollment, Plan Selection in 2024...

16 Dec Gartner: Customer Experience and Application Modernization Key Payer Priorities in 2023

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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

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 Orgs React to Prior Authorization Proposed Rule Payer...