IMAT Solutions Blog

01 Jul Payers: How to Scale SDOH Across Lines of Business and Demographics

Posted at 20:11h in Health Payers by DesignWorks 0 Comments

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Over the past several years, health payers have been launching new Social Determinants of Health (SDOH) strategies to best address population health and drive down long-term costs. In addition to bridging the gap between payers and providers, there have been some new efforts to further scale SDOH efforts, which is the foundation of the Humana Bold Gold effort. In 2015, Humana announced its Bold Goal, a population health strategy to improve the health of the communities the...

24 Jun Health Payers Ramp Up Telehealth Strategies

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

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In the face of the COVID-19 pandemic, telehealth has undoubtedly become the top 2020 health IT story. For providers, it offers a path to expand care coverage for both patients impacted by the pandemic, as well as for those who need routine care. For payers, telehealth actually rose 50 times in usage over the past several months. Though challenges with determining coverage for new and different sites of care and technologies, as well as state and...

17 Jun Bridging the Social Determinants of Health Gap Between Payers and Providers

Posted at 18:41h in Health Payers, Hospitals and Clinics by DesignWorks 0 Comments

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One of the challenges of embracing Social Determinants of Health (SDOH) is that patients don’t often like to disclose information about their housing, access to healthy foods, or transportation challenges. Conversely, for providers, it is often difficult to ask patients SDOH-related questions, which are important to providing the best quality of care possible. To address this, the Community Health Plan of Washington is embracing both training providers and population health management tools to bridge the SDOH gap...

10 Jun Role of Health Data Analytics in Post COVID-19 World

Posted at 09:00h in Health Payers, HIEs, Hospitals and Clinics by DesignWorks 0 Comments

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For many years, health data analytics has played a tremendous role in enhancing the quality of care, as well as driving down overall costs for health systems, payers and HIEs. The COVID-19 pandemic has reinforced how vital health data is for rapid care response. For example, Reliance eHealth Collaborative developed and implemented a wide-range of use cases for enhancing its stakeholders’ pandemic response. Leveraging the IMAT platform, these use cases span everything from notification of COVID-19 test...

20 May COVID-19 Pandemic Creating Demand for Virtual Health Records

Posted at 22:31h in Health Payers, HIEs by DesignWorks 0 Comments

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While the COVID-19 pandemic has created care challenges for health organizations across the country, there has been a rise in the use of virtual health solutions -- helping to meet new demands. Many new virtual health solutions are transforming care models by reducing barriers to access by overcoming geographic hurdles and alleviating impacts of provider shortages. For example, Premera Blue Cross recently launched its first virtual care health plan for member access to primary care providers, and...

01 Apr IMAT Solutions Helping Customers to Identify Patients at Risk of COVID-19

Posted at 22:03h in Health Payers, HIEs, Hospitals and Clinics by DesignWorks 0 Comments

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Last week, IMAT Solutions announced that it is enabling real-time health data reporting and analytics for its customers in response to the COVID-19 pandemic. In addition to facilitating these capabilities through the IMAT platform’s Event-Based Reporting, Population Risk Surveillance, and Alerts/Notifications, the company is helping customers to identify patients who may be at risk of COVID-19, through the creation of profiles based on centralized clinical codes and other clinical data. “One of the challenges of this pandemic...

25 Mar ACA 10th Anniversary: How It Shaped the Health Insurance Industry

Posted at 23:04h in Health Payers by DesignWorks 0 Comments

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With the COVID-19 pandemic dominating the news cycle, there is one piece of news that may be overlooked – the 10th anniversary of the Affordable Care Act (ACA). For health payers, the landmark healthcare law’s central focus was to broaden access to coverage, while also significantly accelerating a transition to alternative payment models (APMs). This also included a new focus on value and reforms to ensure health plans cover certain benefits. Matt Eyles, CEO of America’s Health...

18 Mar What the ONC Interoperability Rule Means to Payers

Posted at 18:23h in Health Payers by DesignWorks 0 Comments

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In the wake of HIMSS20 being cancelled because of the COVID-19 pandemic, the ONC still moved forward with the publishing of its long-awaited interoperability rule last week. According to HHS, the new rules are the most extensive healthcare data-sharing policies yet implemented by the federal government, and aims to hold public and private entities accountable for enabling easy electronic access to health information. In response, there were many published statements from industry providers and associations such as...

10 Mar Did You Know You Can Have Clean, Current and Complete Data with the IMAT Platform?

Posted at 09:00h in Health Payers, Hospitals and Clinics by DesignWorks 0 Comments

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For hospitals and clinics, accessing and leveraging data for all care, reporting, financial, and compliance efforts can be challenging. Often the reason comes down to health data not being fully comprehensive, clean or current. Untimely, incomplete and inaccurate data leads to a lack of data confidence, and makes it nearly impossible to make sound decisions. Did you know that the IMAT C3 Framework can help you tackle these challenges by ensuring that all data is Clean (C1),...

03 Mar RISE Nashville 2020: Providing Health Data Clarity and Confidence

Posted at 19:11h in Health Payers by DesignWorks 0 Comments

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Back for its fourteenth consecutive year, RISE Nashville 2020 is the must-attend mega-conference for professionals of all levels in the Medicare Advantage and ACA market. The event will gather health plan and physician group leaders who will be addressing a wide-range of issues and trends – including risk adjustment, HCC coding, CMS policy updates, improving provider engagement, and advanced data analytics for payers. In booth #225 in Hall H2488, IMAT Solutions will be showcasing how its NCQA-certified...