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Uncategorized

08 Nov HHS Releases Proposed Rule for Information Blocking Disincentives

IMAT Data-as-a-Service Solution Viable Option for Enhancing Clinical Data Integration Capabilities Last week, HHS released a proposed rule for public comment that would establish disincentives for healthcare providers who have committed information blocking. This is when a provider knowingly and unreasonably interferes with the access, exchange, or use of electronic health information except as required by law or covered by a regulatory exception, according to HHS. The disincentives impacts eligible hospital or critical access hospital (CAH) under...

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11 Oct CMS Wants to Expand Medicare Shared Savings Program

Last month during the NAACOS Fall 2023 Conference, Jon Blum, Principal Deputy Administrator and COO for CMS, stated that the Medicare Shared Savings Program (MSSP) is the core engine for expanding accountable care throughout the fee-for-service Medicare program. As per Blum's remarks, CMS is poised to experiment with innovative approaches to establish benchmarks for the upcoming generation of ACO models. Additionally, Blum elaborated on CMS's intention to enhance the alignment of its fundamental programs, particularly as...

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09 Aug IMAT Solutions Named in Gartner® Hype Cycle for Healthcare Providers, 2023

The Gartner Hype Cycle for Healthcare Providers, 2023 Hype Cycle tracks the benefits and maturity levels of digital innovations, market solutions and approaches for healthcare providers. It also helps CIOs communicate with stakeholders on the future direction of IT and supports decision making to identify, understand and prioritize investments. The report also highlights how data curation and enrichment capabilities are becoming critical elements of advanced analytics architectures to derive value from new data sources, improve and...

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02 Aug How IMAT Solutions Meets Data-Sharing Best Practices Playbook Requirements

AHIP, the American Medical Association (AMA), and the National Association of ACOs (NAACOS) recently published data-sharing best practices that organizations may voluntarily adopt to support the growth of value-based care. This new data-sharing best practices playbook aims to help health payers, providers, hospitals, and other value-based care entities to overcome key challenges associated with data sharing for value-based care arrangements that persist today. Following are the key elements of this playbook, and how IMAT Solutions can help...

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21 Jun MSSP ACOs: Meet 2025 Deadline for APP Quality Measures Reporting

Now is the time for all Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) to get prepared for the CMS-mandated 2025 deadline for reporting either eCQMs or CQMs for all patients, payers and health practices. As part of the Quality Payment Program (QPP), CMS will be sun setting the Web Interface reporting method to complete MIPS requirements in 2025. This year and through 2024, only MSSP ACOs can continue to use the CMS Web Interface...

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14 Jun The Effectiveness of AI Guidance for Health Systems is Directly Dependent on the Quality of the Data

While there’s a current mad rush in the development of Artificial Intelligence (AI) solutions for the healthcare arena, health payers and health systems may want to step back and truly assess before implementing these kinds of offerings. As we have seen lately in the mainstream media, Generative AI models, such as ChatGPT, are known to generate mistakes or “hallucinations.” Just last week, a lawyer got into trouble for using ChatGPT for a court filing that...

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06 Apr PODCAST: Improving Readmissions and CMS Star Ratings with IMAT’s NLP Solution

In the following IMAT Solutions podcast interview, Dr. Matt Hoffman, former Chief Medical Informatics Officer at the Utah Health Information Network (UHIN), and Strategic Consultant to IMAT Solutions, discusses dynamic use cases around how the IMAT platform improves readmissions and Star Ratings. The IMAT Solutions platform offers the ability for healthcare organizations to leverage quality data from both structured and unstructured sources to provide true insights into all patient and population health risks. In addition, through the...

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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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15 Feb Supporting Innovative Health Data Exchange Efforts in California

The IMAT Data-as-a-Service (DaaS) Offering Enables Comprehensive Source Interoperability for Meeting 2024 Deadline Late last year, the State of California introduced its California Health and Human Services Agency (CalHHS) Data Exchange Framework to support statewide implementation among healthcare and human services organizations. With $50 million allotted, this effort mandated the signing of a data-sharing agreement to expand the exchange of health information among health care entities, government agencies, and social service programs beginning in 2024. To date, more...

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08 Feb How Clinical Health Data Can Help Life Insurance Providers

In the life insurance sector, actuaries play a critical role in leveraging statistical analysis for developing annuity and life insurance policies for individuals and groups. This involves analyzing and estimating how long someone is expected to live, based on a wide-range of factors – with the goal of minimizing the risk for the life insurance provider. When it comes to analyzing the health of a potential new policyholder, life insurance actuaries typically leveraged data from health...

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