IMAT Solutions Blog

14 Oct Update on Key Health Payer Quality Measures for 2020

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

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In late September, the Core Quality Measure Collaborative (CQMC) released four new quality measure sets for 2020 with the goal of identifying key quality performance indicators that health plans can use for their advanced payment models, while also diminishing the burden on providers. CQMC is a partnership alliance between America’s Health Insurance Plans, CMS, and the National Quality Forum (NQF) that establishes quality measures to promote patient-centered value-based care. “Data and accurate information are a critical lever...

07 Oct Social Informatics: Meeting Social Determinants of Health Needs

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

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According to a recent JAMA study, social informatics could be the answer to some of healthcare’s Social Determinants of Health (SDOH) data problems. Social informatics is a burgeoning field that allows providers to leverage SDOH data to best provide care for patients. As highlighted in this recent EHR Intelligence article, the field of social informatics is coming into the forefront for its ability to overcome the deeper data analytic and interoperability challenges for bringing SDOH efforts...

16 Sep How Payers Can Meet New CMS and ONC Patient Access API Rules

Posted at 10:41h in Health Payers by DesignWorks 0 Comments

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In April 2020, the Office of the National Coordinator for Health IT (ONC) and the Centers for Medicare & Medicaid Services (CMS) extended the deadline for organizations in the care ecosystem to implement the final phase of the 21st Century Cures Act. The most critical element will be providing members with access to their claims and clinical data using new programming interface (API) standards. Payers must also provide public-facing directory services for provider networks and drug...

10 Sep Democratization of Social Determinants of Health Data for Payers

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

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In its brief history on the payer space, Social Determinants of Health (SDOH) efforts served as drivers for helping all parties in the care continuum to enhance population health. Typically, sharing this data with patients was not a common practice – until today. Blue Shield of California recently launched an effort to make SDOH data universally available. Called the Neighborhood Health Dashboard generator, this solution allows anyone – even if they are not a Blue Shield...

02 Sep Healthy People 2030 Elevates Social Determinants of Health

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

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With the mission of promoting, strengthening and evaluating our nation’s efforts to improve the health and well being of all people, HHS’ Healthy People 2030 is also elevating the value of Social Determinants of Health (SDOH) in bringing this effort to life. According to a recent Patient Engagement IT article, HHS is using Healthy People 2030 to continue the agency’s work to address SDOH, such as economic stability, educational access and quality, access to care and...

26 Aug AHIP Guidance for Payers Regarding the Interoperability Rule

Posted at 20:17h in Health Payers by DesignWorks 0 Comments

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CMS and the ONC recently proposed changes to support interoperability to improve patient access to health data. With many payers trying to determine how to update their processes to meet the 2021 deadlines for compliance, AHIP recently published a comprehensive brief to help ensure a smooth transition. “The final rules include policy changes designed to support the Administration’s MyHealthEData initiative, which is intended to empower patients with access to their health information through whatever device or...

05 Aug Health Payer Priorities in Face of Ongoing Pandemic

Posted at 18:57h in Health Payers by DesignWorks 0 Comments

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The cliché “new normal” has officially become “normal,” as the COVID-19 pandemic continues to expand throughout the nation. Though, during Q2 of 2020 when the pandemic was new, there were many lessons learned and new priorities that emerged for health payers. A recent ...

22 Jul Consumers Want Convenience and Telehealth from Health Payers

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

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Consumers are calling for health payers to further embrace telehealth solutions, underscoring the need for providing accessible care as the COVID-19 pandemic continues. This was the core takeaway from a recent CVS Health study, which found that consumers want health solutions that meet them where they are – in store, in home and in hand. “Consumers are demanding convenience and ease in how they access health services. Technological solutions have the power to simplify health care and significantly...

15 Jul Health Payers Ramping Up COVID-19 Testing

Posted at 19:10h in Health Payers by DesignWorks 0 Comments

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With the COVID-19 pandemic increasing in many regions around the United States, health payers continue to ramp up new and more convenient ways for testing their members. Recently, Humana announced a pilot home-testing program that enables at-home COVID-19 test collection for members – making Humana the first insurer to offer at-home test-collection kits. The payer also launched a collaboration with Walmart and Quest Diagnostics to offer drive-thru testing at hundreds of Walmart Neighborhood Market drive-thru pharmacy locations...

08 Jul AHIP: Payers Are Addressing Socioeconomic Needs During COVID-19 and Beyond

Posted at 19:07h in Health Payers by DesignWorks 0 Comments

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As new challenges continue to emerge around the COVID-19 pandemic, health payers are looking for new ways to address Social Determinants of Health (SDOH), according to America’s Health Insurance Plans (AHIP). “With Americans isolated in their homes and over 40 million recently unemployed, the need to address food insecurity, housing instability, and social isolation is greater than ever,” stated AHIP in this new innovation brief. The innovation brief discusses how health insurance providers, local healthcare and social...