25 Sep Health Data News Roundup: Payer Efficiencies Through APIs; Payer Care Management Technologies; and Advertising for MA Plans

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.

How Do Payers Approach Care Management Strategies, Technologies?
Leveraging EHR systems, telehealth tools, and data analytics can help payers improve care management strategies, according to this recent Health Payer Intelligence feature article.

How Payers Unlock Healthcare Efficiency Through the Power of APIs
Healthcare payers are harnessing the power of APIs to create seamless member experiences, streamline operations, and stay competitive in the digital healthcare landscape, as highlighted by Health Payer Intelligence.

Beneficiaries with Cancer Spend Less Out-of-Pocket in Medicare Advantage
Medicare Advantage beneficiaries with cancer experienced lower out-of-pocket costs and had access to more benefits than those in Medicare fee-for-service (FFS), according to new research.

How Do Rebates Impact Part D Spending for Plans, Beneficiaries?
While rebates may lower Medicare Part D spending for plan sponsors, they do not reduce drug costs for Medicare beneficiaries, according to a study conducted by the US Government Accountability Office (GAO).

CMS Audits Texas Over Medicaid Redeterminations
The Texas Health and Human Services Commission is being audited by the federal Centers for Medicare & Medicaid Services to examine individuals who were denied Medicaid coverage during the month of August.

AI Adoption in U.S. Healthcare Won’t Be Easy
Artificial Intelligence has the potential to improve every aspect of healthcare. However, getting to wide-spread adoption won’t be easy, according to this recent Harvard Business Review article.

How Medicare Advantage is Being Advertised on TV
More than 85 percent of the nearly 650,000 Medicare TV ad airings over a nine-week stretch during the 2023 open enrollment period were for Medicare Advantage, according to a recent KFF report.