IMAT Solutions Blog

30 Nov Value-Based Alternative Payment Models Growing in Popularity

Posted at 18:42h in Health Payers by DesignWorks 0 Comments

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The Health Care Payment Learning and Action Network (LAN) recently released its annual survey that tracks how payers and providers adopt value-based alternative payment models. Designed to understand how today’s healthcare ecosystem is moving away from a system based on volume of service to the value of care provided, the survey found that 40 percent of payers are using value-based alternative payment models. “Value-based models for delivering care are essential for putting the patient first, creating aligned...

02 Nov Health Payers: Boosting Member Experiences Has Never Been More Important

Posted at 09:00h in Health Payers by DesignWorks 0 Comments

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The IMAT Flexible Payer Solution allows for access to aggregated clinical data faster for enhancing overall member care In order to keep their members engaged, health payers need to provide a positive patient experience by enabling easy navigation throughout the healthcare landscape, according to a new Accenture report. Accenture surveyed 21,000 American consumers and found that Millennials want better digital experiences and improved customer service. Overall, it must be easy to do business with a payer, reputation...

26 Oct The IMAT Flexible Payer Solution: Enabling Dynamic Business Use Cases for Health Payers

Posted at 09:00h in Health Payers by DesignWorks 0 Comments

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With a core focus on better orchestration of member care, today’s health payers are presented with the opportunity to leverage key digital platforms for providing better care, while also achieving key cost-savings. In order to fully understand how innovative digital platforms can help, it’s always best to illustrate the “art of what’s possible” through dynamic business use cases. Fortunately, the IMAT Flexible Payer Solution, which is a one-stop-solution for health payers to gain optimal results from their...

24 Oct Health Data News Roundup: IMAT DaaS Solution Enhances Star Ratings; UPMC Digital Health Most Wired; and Health Equity and UnitedHealthcare

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 Star Ratings Declined for 2023 Earlier this month,...

05 Oct The IMAT Flexible Payer Solution: Helping Payers Make Data Compliance a Strategic Imperative

Posted at 09:00h in Health Payers by DesignWorks 0 Comments

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While complying with the CMS Interoperability and the Patient Access API mandate is a priority for health payers, few are viewing data compliance overall as a strategic imperative. Much of this comes down to the challenges of achieving compliance on many current and emerging mandates, which include CMS Star ratings, HEDIS reporting, investment in FHIR R4 capabilities, as well as emerging CMS digital quality measures (dQMs). For example, health payers are challenged with the following administrative burdens...

29 Sep How Health Payers Can Enhance Revenue with the IMAT Flexible Payer Solution

Posted at 09:00h in Health Payers by DesignWorks 0 Comments

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For health payers, managing costs continues to be a major priority. According to a recent study, nearly 50 percent of payers stated cost management was a significant challenge, and over 40 percent need to enhance operational efficiencies. In addition, chart chasing continues to be the most-used method that allows health plans to improve HEDIS measures and Medicare Star ratings. This costly and frustrating effort often involves health plans employing medical coders to review thousands of charts...

20 Sep The IMAT Flexible Payer Solution: Helping Payers Boost Revenue, Achieve Compliance and Enhance Member Care

Posted at 17:12h in Health Payers by DesignWorks 0 Comments

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For health payers, being able to leverage clinical data in ways that enhances overall member care, boosts revenue, while also meeting reporting and compliance mandates, can be a daunting challenge. In addition, to achieve true digital transformation there needs to be a clear path to return-on-investment (ROI), as well as member care improvements, when implementing new innovations. Conversely, payers often have a difficult time achieving key business goals when technology adoption can be slow – highlighting the...

31 Aug The IMAT Flexible Payer Solution Enables FHIR with U.S. Core Data for Interoperability (USCDI) 4.0 Standards for Health Payers

Posted at 09:00h in Health Payers by DesignWorks 0 Comments

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Removes the need for payers to fund and implement the required interoperability capabilities Earlier this month, the ONC announced upcoming deadlines for the availability of standards-based Fast Healthcare Interoperability Resources (FHIR) application programming interfaces (APIs) to help the 21st Century Cures Act infrastructure fully come to life. Certified health IT vendors will need to update and provide their customers with FHIR-based certified API technology by December 31, 2022. In addition, embracing FHIR capabilities will allow health payers...

29 Aug Health Data News Roundup: Three Payers Take Action on SDOH; Cures Act Deadlines; The Sequoia Project Selects HITRUST

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. ONC Outlines Upcoming Cures Act Deadlines for Certified Health...

03 Aug The IMAT Flexible Payer Solution Enables Data Quality Improvements for Health Payers

Posted at 09:00h in Health Payers by DesignWorks 0 Comments

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With the goal of providing access to actionable, clean and validated data, the new IMAT IMAT Flexible Payer Solution allows health payers to gain optimal results from their data, while also removing any challenges with meeting new standards. Leveraging the IMAT C3 Framework, the IMAT Flexible Payer Solution takes the unclean, incomplete, raw clinical data that comes out of the EHR eco-system and dramatically improves the overall data quality. This is achieved by increasing the usability of...