30 May Health Data News Roundup: Medicare Advantage Care Quality Research Needed; Payers Ranked By Medicaid Membership; and AI Will Not Replace Jobs

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.

More Research Needed on Medicare Advantage Care Quality
Data is missing on the quality of care in Medicare Advantage and the availability of supplemental benefits, which are often used by beneficiaries with serious illness, according to new research.

Aetna Injects $7.3M into Virginia FQHCs for Improved Cancer Outcomes
In partnership with the Virginia Community Healthcare Association (VCHA), Aetna Better Health of Virginia has allocated over $7 million in value-based care incentives to Virginia’s federally qualified health centers (FQHCs) to enhance cancer outcomes.

CMS Proposed Rule Addresses Drug Cost Transparency in Medicaid
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that aims to increase the transparency of prescription drug costs in Medicaid. The proposed rule also aims to improve transparency around the costs of administering drug benefits in managed care plans.

KFF: Payers Will Issue $1.1B in Medical Loss Ratio Rebates in 2023
Health payers will issue around $1.1 billion in medical loss ratio (MLR) rebates across commercial markets in 2023, KFF projected.

Payers Ranked By Medicaid Membership | Q1 2023
Centene topped the list of six major payers for Medicaid membership and growth in the first quarter of 2023, and here’s how five other major payers stacked up when it comes to Medicaid membership.

Addressing the Ethical Use of AI in Healthcare
As the use of artificial intelligence (AI) technologies continues to infiltrate the healthcare space, it has also brought with it many questions about the ethics that are being hotly debated in academia, industry and the media.

Will AI Replace Healthcare Jobs?
According to this recent MedCity News article, AI will likely not replace healthcare jobs. The more plausible scenario is human-agent teaming, which will pair human intelligence with artificial intelligence — leveraging the strengths of each.