care management Tag

18 Jun Why Improving Member Satisfaction Starts with Better Healthcare Data

Top Takeaways • Member satisfaction and trust remain significant challenges for health plans despite ongoing efforts to improve member experiences. • Rising healthcare costs are increasing pressure on payer organizations to strengthen member engagement and deliver greater value.  • Health plans are moving from experimentation to operationalization as AI becomes embedded into workflows such as risk adjustment, claims, and utilization management. • Improving member experiences requires more than simplifying processes and communications. It requires trusted, actionable healthcare data. •...

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11 Jun Why Health Plans Are Shifting Focus from Data Exchange to Data Intelligence

Top Takeaways • Health plans are increasingly focused on maximizing the value of existing health IT investments. • Interoperability remains important, but organizations now need data that is trusted, usable, and actionable. • Health plans are moving from experimentation to operationalization as AI becomes embedded into workflows such as risk adjustment, claims, and utilization management. • Provider data quality challenges continue to impact operational efficiency, member experience, and reporting accuracy. • Quality, Stars, HEDIS, CAHPS, risk adjustment, and care management...

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08 Jun Health Data News Roundup: Payers Become AI-First; Microsoft and Mayo Clinic Frontier AI Model; and Payer IT Execution

Welcome to the Health Data Weekly News Roundup from IMAT Solutions. This healthcare data news roundup highlights how health plans and providers are accelerating AI adoption, strengthening value-based care strategies, and focusing on operational transformation. Industry leaders continue to emphasize the importance of governance, care management, and trusted data as organizations work to improve outcomes, reduce costs, and prepare for the future of healthcare. AI for Healthcare Payers: How to Become AI-First Health plans have an opportunity...

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