IMAT Solutions Blog

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,...

14 Mar IMAT Solutions Cited in Gartner Report, “U.S. Healthcare Payer CIOs Should Avoid Data Lake Mistakes with Clinical Data Integration”

Posted at 18:59h in Health Payers by DesignWorks 0 Comments

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IMAT Solutions was recently included in a Gartner report: “U.S. Healthcare Payer CIOs Should Avoid Data Lake Mistakes with Clinical Data Integration.” The report provides insights into how: “payer CIOs want to know whether data lakes can deliver quick wins for business leaders hungry to derive actionable insights from unstructured and nonstandard clinical data. To avoid drowning in data, CIOs must first specify goals and critically compare internal capabilities to vendor solutions.” IMAT Solutions allows payers to...

19 Dec IMAT Solutions Helps Health Payers to Become Data-Driven Organizations

Posted at 19:17h in Health Payers by DesignWorks 0 Comments

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According to a recent study, health payers believe that data analytics are a priority in 2019, but many are not prepared to fully become data-driven organizations. In fact, this research found that only 17 percent of payers have the capabilities to leverage health data effectively. One of the areas that stood out in this study is that payers are challenged with offering providers the insights they need to succeed with value-based care. This reinforces the need...

19 Nov Be Our Guest: IMAT Solutions is Sponsoring the SHIEC Reception at the 2018 ONC Annual Meeting

Posted at 18:44h in Health Payers, Hospitals and Clinics by DesignWorks 0 Comments

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On November 29-30, the Office of the National Coordinator for Health Information Technology (ONC) is hosting its 2018 Annual Meeting in Washington, D.C. With the theme of “Highlighting Progress, Driving Success,” the event will gather more than 1,200 ONC health IT partners to highlight and discuss some of the biggest challenges and opportunities in health IT today. From advancing interoperability to connecting communities through health data exchange to the ONC’s perspective on FHIR, the event will cover...

02 Nov Black Book Poll: Health Payer Executives Seek Enhanced Data Analytics

Posted at 21:31h in Health Payers by DesignWorks 0 Comments

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As highlighted in a new Black Book poll, healthcare organizations are looking to improve the quality of their data assets by actively seeking ways to leverage data for clinical analytics and population health management. Specifically, 93 percent of hospital and physician financial executives believe it is critical to explore new ways to use data analytics to support value-based reimbursement and meet the demands of consumerism. The study points to how clinical documentation improvement (CDI) programs play a...