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Uncategorized

02 Feb CMS Reports Dramatic Increase in Medicare Shared Savings Program (MSSP) ACO Participation

Reinforces need for MSSP ACOs to prepare for the 2025 deadline for APP quality measures reporting The Center for Medicare and Medicaid Services (CMS) recently announced that there are a total of 480 Accountable Care Organizations (ACO) participating in the Medicare Shared Savings Program (MSSP), which is the largest number to date. Overall, this number includes 50 new ACOs, 71 renewing ACOs, as well as the 19 ACOs participating in the new payment option. In addition,...

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11 Dec Health Data News Roundup: Payers and Healthcare IT for Cost Optimization; Medicare Advantage Gold Rush Potentially Over; and New MSSP ACO

Welcome to the Health Data Weekly News Round Up 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. Payers Embrace Healthcare IT for Cost Optimization, Member...

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21 Nov VIDEO: How to Meet the 2025 Deadline for APP Quality Reporting

With the CMS-mandated 2025 deadline for reporting either eCQMs or MIPS/Medicare CQMs for all patients, payers and health practices quickly coming up, Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) need to be prepared to achieve compliance. However, achieving compliance could take up to 18 to 24 months. To best meet these new reporting requirements, MSSP ACOs need to leverage solutions that enhance data aggregation, patient matching, and de-duplication capabilities, as well as implement a comprehensive...

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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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