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Uncategorized

22 Feb Helping Health Payers to Reimagine How They Do Business

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

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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...

15 Feb Supporting Innovative Health Data Exchange Efforts in California

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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...

08 Feb How Clinical Health Data Can Help Life Insurance Providers

Posted at 19:21h in Uncategorized by DesignWorks 0 Comments

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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...

02 Feb How to Overcome Health Data Quality and Interoperability Challenges

Posted at 18:51h in Uncategorized by DesignWorks 0 Comments

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IMAT DaaS Solution Provides Access to Clean and Validated Data, While Enhancing Interoperability Capabilities A recent study from Health Gorilla found that poor data quality and information sharing remain a challenge to the vast majority of healthcare systems. More than 130 executive decision-makers across the healthcare ecosystem reported that 60 percent of healthcare systems had duplicative or incomplete data retrieved through health information exchanges. Sixty nine percent of digital health executives also reported gaps in their...

17 Nov States: Achieve Benchmarks in Peterson-Milbank Program for Sustainable Health Care Costs

Posted at 03:38h in Uncategorized by DesignWorks 0 Comments

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Making healthcare more affordable for residents and employers is a critical priority for many states across the country. Thankfully, there are programs that allow states to track overall costs to better serve citizens. For example, the Peterson-Milbank Program for Sustainable Health Care Costs helps participating states to identify, establish and monitor key healthcare spending trends, and track them against agreed-upon targets. This is achieved through increasing state capacity, soliciting participation from regional stakeholders, addressing cost...

19 Oct Medicare Advantage Star Ratings Declined for 2023

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Enhance Star Ratings with the IMAT Flexible Payer Solution With the goal of providing consumers a way to compare health plans, the Medicare Advantage Star Ratings measure the quality of health and drug services received by individuals enrolled in Medicare Advantage (MA) and Part D plans. Earlier this month, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which found an overall decline in ratings when compared to 2022. In fact, 57 contracts earned five...

08 Jun VIDEO: Centralized Data Aggregation and Quality Reporting for States

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At the 2022 Annual State HIT Connect Summit, IMAT Solutions presented with the State of Rhode Island to highlight the RI Quality Reporting System (QRS) and its implementation approach, service and technology requirements, and current status. The presentation also showcased the state’s alignment with the RI Medicaid program to support the goal of shifting to value-based payment methodologies for the Rhode Island Medicaid Accountable Care Organizations (ACOs). View the full presentation on YouTube The Rhode Island Executive Office...

27 Apr CMS Bringing Digital Quality Measurement to Life

Posted at 19:44h in Uncategorized by DesignWorks 0 Comments

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At the recent CMS Quality Conference 2022, the Centers for Medicare & Medicaid Services (CMS) unveiled its plan to transition to fully digital quality measures. The goal of this effort is to advance quality measurement by transitioning all quality measures used in its reporting programs to digital quality measures (dQMs). Much of this is being driven by the ONC 21st Century Cures Act final rule, which requires health information technology (IT) developers to update their certified...

14 Mar IMAT Solutions Cited in Gartner Report, “U.S. Healthcare Payer CIOs Should Avoid Data Lake Mistakes with Clinical Data Integration”

Posted at 18:59h in Uncategorized by DesignWorks 0 Comments

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IMAT Solutions was recently included in a Gartner report: “U.S. Healthcare Payer CIOs Should Avoid Data Lake Mistakes with Clinical Data Integration.” The report provides insights into how: “payer CIOs want to know whether data lakes can deliver quick wins for business leaders hungry to derive actionable insights from unstructured and nonstandard clinical data. To avoid drowning in data, CIOs must first specify goals and critically compare internal capabilities to vendor solutions.” IMAT Solutions allows payers to...

02 Nov Black Book Poll: Health Payer Executives Seek Enhanced Data Analytics

Posted at 21:31h in Uncategorized by DesignWorks 0 Comments

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As highlighted in a new Black Book poll, healthcare organizations are looking to improve the quality of their data assets by actively seeking ways to leverage data for clinical analytics and population health management. Specifically, 93 percent of hospital and physician financial executives believe it is critical to explore new ways to use data analytics to support value-based reimbursement and meet the demands of consumerism. The study points to how clinical documentation improvement (CDI) programs play a...