29 Jan Health Data News Roundup: Provider Feedback on Prior Authorization Rule; NAACOS Recommendations for Value-Based Care; and Payers Ranked by Medicare Advantage Enrollment

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.

Provider Groups Say Final Rule Will Relieve Prior Authorization Burdens
Provider groups, including the American Medical Association and the Medical Group Management Association, said the final rule will help streamline prior authorization processes.

UnitedHealthcare Platform Improves Member Access to Well-Being Programs
UnitedHealthcare has launched a platform to facilitate member access to health and well-being programs and lower costs for employers.

CMMI and Value-Based Care: Advancing and Safeguarding Primary Care
Over the past decade, primary care practices have moved into alternative payment models (APMs) that help them care for their patients, much of this success is due to the Medicare Shared Savings Program (MSSP), according to this Health Affairs article>.

Elevance Health Wants to Use AI to Simplify and Personalize Healthcare
Elevance Health, which serves 117 million people, sees opportunities to leverage generative AI and other technologies to make healthcare easier to navigate, according to the company’s executives who spoke at the recent Consumer Electronics Show.

10 Payers That Lost Medicare Advantage Members for 2024
While overall Medicare Advantage enrollment grew 2.5 percent during the annual enrollment period, several payers saw their membership decline, according to a recent study.

Payers Ranked by Medicare Advantage Enrollment in 2024
UnitedHealth is still the largest Medicare Advantage carrier in the country, while CVS Health recorded 15 percent growth in MA membership during the annual enrollment period, according to a recent study.

NAACOS Recommendations for Value-Based Care in Rural Communities
NAACOS has published a five-page letter outlining ways to improve value-based care in underserved areas, especially rural parts of the nation. It has also drafted an additional summary with recommendations about alternative payment models (APMs) for consideration by CMS.