IMAT Solutions Blog

04 Sep Health Payers Bringing Human Element to Social Determinants of Health Efforts

Posted at 17:41h in Health Payers by DesignWorks 0 Comments

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With social determinants of health (SDOH) in the payer arena focusing on “whole person” care, several payers are embracing innovative approaches to this emerging frontier – often bringing in more of a human element. To address social and economic barriers to better serve vulnerable populations, payers are doing everything from providing housing for the homeless to having local field teams work directly with patients and providers. For example, Blue Cross and Blue Shield of Illinois is investing...

12 Aug Health Data News Roundup: Benefits of Social Determinants and Payers; DirectTrust Milestone; and IMAT at SHIEC 2019

Posted at 09:00h in ACOs, Health Payers, HIEs, Hospitals and Clinics 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. Benefits of Investing in Social Determinants of Health for Payers UnitedHealthcare’s...

17 Jul The Rise of Social Determinants of Health in Payer Arena

Posted at 20:46h in Health Payers by DesignWorks 0 Comments

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Late last month, AHIP hosted its 2019 Expo and one of the key themes of the event was the rise of social determinants of health (SDOH) – specifically the need for payers to focus on “whole person care,” as well as to address social and economic barriers to better serve vulnerable populations. Mark Farrah Associates (MFA), a publisher of health plan market data, offered these insights into what was covered with regards to SDOH and payers...

10 Jul Aetna Launches Precision Medicine Efforts to Improve Health Outcomes and Decrease Costs

Posted at 18:45h in Health Payers by DesignWorks 0 Comments

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The payer arena is starting to embrace precision medicine to improve overall health outcomes and enhance cost-savings. For example, Aetna is now leading the way with a new precision medicine program that embraces breast and ovarian cancer testing program using the BRCA gene test. Aetna is also implementing a genetic information privacy policy, becoming the first health plan to require quality credentialing of genetic testing labs. With the number of genetic tests increasing to more than...

20 Jun Anthem Enhances Health Access and Behavioral Health Management

Posted at 19:23h in Health Payers by DesignWorks 0 Comments

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In an effort to enhance overall health addressing behavioral health within its beneficiary populations, Anthem recently announced that it is acquiring Beacon Health Options, a behavioral health management company that serves beneficiaries in all 50 states. As highlighted in the press release announcing the acquisition, Beacon currently serves more than 36 million individuals across all 50 states, including nearly 3 million individuals under comprehensive risk-based behavioral programs. “With an extensive track record in behavioral health, Beacon fits well...

14 Jun AHIP: Health Payers Are Key Drivers to U.S. Economic Growth

Posted at 19:22h in Health Payers by DesignWorks 0 Comments

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According to a recent report from America’s Health Insurance Plans (AHIP), the healthcare payer and insurance industry are key drivers of state economies across the country through both job creation and by expanding access to care and payer coverage. The report found that some form of a private or public payer plan covers more than 170 million individuals in the U.S. In addition, health plans both directly and indirectly employ over 1.5 million people while the...

30 May Data Scientists in High Demand for Payers

Posted at 17:31h in Health Payers by DesignWorks 0 Comments

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The Right Data Management Solutions Can Fill in Talent Gaps According to a recent Journal of the American Medical Informatics Association (JAMIA) study, the demand for data scientists and machine learning specialists is at an all-time-high for health payers. Payers are eager to leverage their big data assets more effectively, says study author Melanie Meyer, a health informatics expert from the University of Massachusetts Lowell, and they need to secure talented staff in order to meet their...

22 May UnitedHealthcare and AMA Advancing Social Determinants of Health Data in Care Delivery

Posted at 22:33h in Health Payers by DesignWorks 0 Comments

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The concept of Social Determinants of Health (SDoH) continues to rise to the forefront of the health payer arena. With the ability to leverage data to track the economic and social conditions that influence the health of a population, payers are developing new strategies to address issues that prevent better access to care and hinder patient outcomes. Last month, UnitedHealthcare announced a new partnership with the American Medical Association (AMA) that aims to do precisely this by standardizing...

14 May Humana Leveraging Data Analytics to Enhance Cancer Care

Posted at 18:28h in Health Payers by DesignWorks 0 Comments

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As a payer organization that is leading the way when it comes to leveraging health data, Humana is once again a pioneering organization in this arena. Last month, the organization announced that it launched a program to improve patient experiences and outcomes in cancer care, offering analytics and other incentives to providers. This is Humana’s fourth specialty care payment program that offers support to providers in making the transition to value-based care. According to Health Data Management,...

04 Apr Health Payers: Tips for Enhancing Provider Engagement

Posted at 18:14h in Health Payers by DesignWorks 0 Comments

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In December 2018, global consulting firm North Highland published a study, which showed that many health payers are not fully prepared to become data-driven organizations. The study also reinforced how payers are challenged in offering care providers the insights needed to succeed with value-based care. According to the NCQA Quality Measurement and Research Group, effective provider engagement for payers can lead to an improvement in performance and quality scores. Performance indicators such as CMS Star Ratings,...