Payers Archives - Page 8 of 32 - IMAT Solutions
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Payers

22 Feb Helping Health Payers to Reimagine How They Do Business

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...

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20 Feb Health Data News Roundup: Health Payers and IT Modernization; Humana and BCBS Health Equity Efforts; and Cigna Launches Rebrand

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. The Role of Medicaid Managed Care Organizations in the...

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13 Feb Health Data News Roundup: Future of Medicare Advantage Risk Adjustment Data Validation; Quality of Care When Assess Plans; and California Health Data Exchange News

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 Plans Rejected 2M Prior Authorization Requests in...

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

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...

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30 Jan Health Data News Roundup: 2023 Medicare Advantage Challenges; Elevance Health to Acquire BCBSLA; and Addressesing Patient Matching Accuracy

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. Why 2023 Could Bring Medicare Advantage Challenges for Payers Upcoming...

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23 Jan Health Data News Roundup: Medicare Advantage Tops 30 Million; ONC Releases Draft USCDI Version 4; and DirectTrust News

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. CMS: 15.9M Enrollees Have Selected ACA Marketplace Plans for...

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19 Jan Clinical Data Integration Benefits for Healthcare Payer CIOs

In today’s competitive business climate, U.S. healthcare payer CIOs want to deliver quick wins for business leaders with actionable insights from a broad range of structured/unstructured and nonstandard clinical data. Therefore, it’s critical to prioritize and implement Clinical Data Integration (CDI) capabilities by evaluating business objectives that take into consideration risk adjustment, quality measurement, and overall member management. Gartner estimates that more than 50 percent of payers will shift their CDI initiatives from projects to enterprise-based approaches...

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16 Jan Health Data News Roundup: ONC Releases 2023 ISA Reference Edition; BCBSM and Full-Risk Value-Based Care Contracts; and Medicaid Social Determinants of Health

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 Releases 2023 Interoperability Standards Advisory Reference Edition ONC has...

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13 Jan Using FHIR to Jump-Start Clinical Data Integration for U.S. Healthcare Payers

With the ONC and CMS interoperability mandates that are transforming clinical and administrative data exchange between payers, providers and patients, now’s the ideal time for payers to jump-start enterprise CDI investment to achieve compliance. As such, payers have the opportunity to embrace FHIR as the new common language for health data exchange, as well as tap into key vendors for bringing CDI initiatives to life. These were the key themes of the December 2022 refresh of the...

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09 Jan Health Data News Roundup: ACA Enrollment Up 18 Percent; Medicare Advantage Enrollment Growth; and Finalizes 2023 Health IT Accreditation Criteria

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. Affordable Care Act Marketplace Enrollment Up by 1.8M From...

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