IMAT Solutions Blog

10 Jul Health Data News Roundup: How Elevance Health and MVP Health Care Use Data; Improving Race and Ethnicity Data Collection; and Patient’s Views on AI

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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. How Elevance Health, MVP Health Care Are Leveraging Data...

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 Health 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...

24 Apr Health Data News Roundup: Latest FHIR Standard Unveiled; Humana Addresses Housing Stability; and the No Surprises Act

Posted at 09:00h in Health 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. HHS Finalizes Notice of Benefit and Payment Parameters for 2024 HHS...

29 Mar IMAT Solutions at Forefront of Payer Services Market – Payer Growth Expected to Hit $118.2 Billion by 2027

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With U.S. healthcare payer executives under pressure to deliver technology and analytics-enabled business capabilities for better health value, it’s no surprise that the expected growth in the payer services market is tremendous. According to a recent study from Markets and Markets, the payer services market – which includes data analytics, digital health and care management – is expected to grow to $118.2 billion by 2027. The report also states the sector was worth $69.9 billion in...

15 Mar Meeting Health Payers Top Actions for 2023

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The IMAT Flexible Payer Solution Enables Clinical Data Integration (CDI) and Interoperability at Scale U.S. healthcare payer executives are prioritizing growth, technology modernization and customer experience (CX) in 2023. In order to achieve these goals, payer CIOs need to sustain technology modernization funding and momentum, develop comprehensive CX strategies, and expand data sharing capabilities. These were the key highlights of a new Gartner report, titled “Quick Answer: U.S. Healthcare Payer CIO Top Actions for 2023.” Click here to...

09 Mar Delivering Critical Health Data Infrastructure for Provider-Sponsored Health Plans

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Rise of Value-Based Care Models Advancing Need for Better Financial Performance With today’s providers realizing that additional revenue streams are needed in the face of the rise of value-based care, many are considering launching their own Provider-Sponsored Health Plans (PSHP). PSHPs are health insurance companies owned by a health system, physicians group, or a hospital. The model encompasses the entirety of the continuum of care, from funding to care delivery, as well as connecting the payer and...

02 Mar How Health Payers Can Achieve True Digital Optimization in 2023

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Healthcare payers must continually evolve digital capabilities in line with ever-changing business requirements, which can be achieved through continual IT optimization strategies. .ytvideo { aspect-ratio: 16 / 9; width: 100%; } While many payers are beginning to make strides in implementing digital-first member services, many are challenged with compliance hurdles, economic uncertainty and expanded expectations for enhancing overall member care. These are the key highlights of Gartner’s “Healthcare and Life Science Digital Optimization and Modernization Primer for...

22 Feb Helping Health Payers to Reimagine How They Do Business

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As with any industry sector these days, the U.S. health payer arena faces some significant challenges from unlikely players. For example, technology giant Amazon, CVS Health, Walgreens, and other retailers are becoming healthcare industry staples, and a significant competitive threat. In fact, in an effort to eliminate administrative complexities in healthcare, Amazon aims to be the first claims-free payer by 2026. In addition, many payers still rely on cumbersome legacy processes in the face of rising regulatory...

08 Feb How Clinical Health Data Can Help Life Insurance Providers

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In the life insurance sector, actuaries play a critical role in leveraging statistical analysis for developing annuity and life insurance policies for individuals and groups. This involves analyzing and estimating how long someone is expected to live, based on a wide-range of factors – with the goal of minimizing the risk for the life insurance provider. When it comes to analyzing the health of a potential new policyholder, life insurance actuaries typically leveraged data from health...

06 Feb Health Data News Roundup: Medicare Advantage Audit Ruling; Lack of Encounter Data for MA Supplemental Benefits; and Cigna Reduced Care Costs

Posted at 09:00h in Health 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. New Medicare Rule Aims to Take Back $4.7 Billion...