IMAT Solutions Blog

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...

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...