value based care Tag

23 Jun Health IT Answers: Why Delaying dQM Readiness Could Cost More Than Preparing Top Takeaways

Posted at 15:13h in Hospitals and Clinics by Matt Langan 0 Comments

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Top Takeaways • The costs associated with fragmented data environments and manual reporting workflows are already affecting healthcare organizations today. • dQM readiness is not just about future compliance requirements. It is about improving operational efficiency, data quality, and decision making now.• Investments in interoperability, data standardization, and reporting infrastructure can support multiple strategic initiatives beyond quality reporting.• Delaying data modernization efforts may increase administrative burden and make future transitions more disruptive. • Organizations that strengthen their data...

15 Jun Health Data News Roundup: Payer Satisfaction Low; MA Star Ratings Court Case; and Payers Shift to Data Intelligence

Posted at 10:09h in Health Data News Roundup by Matt Langan 0 Comments

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Welcome to the Health Data Weekly News Roundup from IMAT Solutions. This week's healthcare data news highlights growing pressure on health plans to improve member satisfaction, maximize the value of healthcare data investments, and support quality and care delivery initiatives. From Medicare Advantage trends and Star Ratings scrutiny to digital health records and data intelligence strategies, organizations across the healthcare ecosystem continue to focus on turning healthcare data into meaningful business and clinical outcomes. JD Power:...

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

Posted at 09:35h in Health Data News Roundup by Matt Langan 0 Comments

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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...

03 Jun Why Health Plan Data Infrastructure Is Becoming a Competitive Advantage

Posted at 09:30h in Health Payers by Matt Langan 0 Comments

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Top Takeaways • Health plan leaders increasingly view actionable data as a strategic asset for improving affordability, operational efficiency, and member outcomes. • AI adoption is accelerating across payer organizations, but success depends on trusted, normalized, and auditable healthcare data. • Health plans are moving from experimentation to operationalization as AI becomes embedded into workflows such as risk adjustment, claims, and utilization management. • Data quality and interoperability remain foundational challenges that must be addressed before organizations can fully...

01 Jun Health Data News Roundup: AI with Dwarf Every Health IT Shift; Health Plan Trends; and Ken Barbe New IMAT CEO

Posted at 09:30h in Health Data News Roundup by Matt Langan 0 Comments

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Welcome to the Health Data Weekly News Roundup from IMAT Solutions.This week's healthcare data trends highlight the growing importance of AI infrastructure, interoperability, payer transformation, and trusted data foundations as healthcare organizations prepare for an increasingly digital future. Beyond the EHR: Why One CIO Believes AI Will Dwarf Every Prior Health IT Shift Healthcare leaders should view artificial intelligence as a transformational shift that will extend far beyond traditional electronic health record (EHR) systems and health systems...

22 May Medicare Advantage Compliance Is Entering a New Phase. Health Plans Need Better Data Foundations.

Posted at 05:13h in Medicare Advantage by Matt Langan 0 Comments

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Top Takeaways • Medicare Advantage oversight is intensifying as CMS and federal regulators place greater scrutiny on audit readiness, risk adjustment accuracy, and data integrity. • Risk adjusted data validation is becoming more critical as plans prepare for increasing compliance expectations and operational complexity.• Fragmented data environments create compliance risk when clinical, claims, and encounter data cannot be trusted or validated consistently.• Audit ready data infrastructure is becoming essential as health plans face growing pressure to support...

13 May AI Is Moving Beyond Experimentation. MSSP ACOs Need the Data Infrastructure to Keep Up.

Posted at 16:35h in Hospitals and Clinics by Matt Langan 0 Comments

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Top Takeaways • AI is moving from experimental to operational across MSSP ACOs as organizations increasingly embed AI into clinical, quality, and care management workflows.• Real-time data infrastructure is becoming essential as ACOs shift from retrospective reporting toward continuous performance monitoring and operational decision making.• Fragmented and delayed data remains a major barrier to scalable AI adoption and value-based care success.• MSSP APP reporting is accelerating the need for trusted data as ACOs move toward full...

29 Apr Healthcare Business Today: Why MSSP ACOs Must Rethink Data Infrastructure for the APP Era

Posted at 10:53h in Hospitals and Clinics by Matt Langan 0 Comments

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Top Takeaways • APP reporting requires MSSP ACOs to move beyond sampling and manual chart abstraction to support full population digital quality reporting.• Clinical data quality now directly impacts performance, making complete, standardized, and report ready data essential for accurate measurement.• Fragmented data environments across EHRs, coding systems, and provider workflows make full population reporting far more difficult at scale.• Manual chart chasing is no longer sustainable and is being replaced by centralized data curation and...

27 Apr Health Data News Roundup: Half of AI Health Answers Wrong; ONC ad Behavioral Health Data Exchange; and IMAT Signs New Health Plan

Posted at 09:10h in Health Data News Roundup by Matt Langan 0 Comments

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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 Study: Half of AI Health Answers Are Wrong Even...

20 Apr Health Data News Roundup: Data and MA Star Ratings; Faster Prior Authorization Approvals; and AI Chatbot Performance

Posted at 09:00h in Health Data News Roundup by DesignWorks 0 Comments

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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 Medicare Advantage Star Ratings Overhaul: What It Means...