26 Jun Health Data News Roundup: Meeting APP Quality Measures Reporting Deadline; Medicare Advantage Overpayments; and Improve MA Star Ratings with Behavioral Science

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.

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. Learn about how IMAT can help.

Medicare Advantage Overpayments Expected to Surpass $75 Billion in 2023
Medicare Advantage overpayments may exceed $75 billion in 2023 due to favorable selection of Medicare Advantage plans, according to the USC Schaeffer Center for Health Policy & Economics.

How Value-Based Purchasing Program Design Influences Outcomes
Payers should consider program design intensity when implementing value-based purchasing contracts, as higher-intensity programs can lead to better care quality and greater spending reductions, according to Health Affairs.

Employer Sponsored Health Plan Enrollment Will Hit 159 Million in 2033
Employer-sponsored health plan enrollment among nonelderly Americans will grow after 2025, accompanied by higher private payer premiums, a Health Affairs study found.

ONC Project Taps FHIR to Extract Over 40 Percent of Clinical Data Registry
The ONC revealed that using the FHIR to leverage data shows promise for the acquisition of clinical registry data, reducing processing times and improving submission delays.

Humana is Second Major Medicare Advantage Insurer to Report High Utilization
Humana, one of the two biggest players in the Medicare Advantage market, is being hit with high benefit expenses due to high utilization among its members, according to a recent filing with the Securities and Exchange Commission.

Improve Your MA Star Ratings with Behavioral Science
To improve overall MA Star Ratings, here’s an interesting perspective on taking a long-term perspective and adopting some basic behavioral science methods to advance your rating.

Stanford Medicine Launches Initiative to Advance Responsible AI in Healthcare
Stanford Medicine and Stanford Institute for Human-Centered Artificial Intelligence (HAI) recently launched Responsible AI for Safe and Equitable Health (RAISE-Health) with the goal of addressing critical ethical and safety issues regarding the technology.