28 Oct Health Data News Roundup: Value-Based Care Push Amid Challenges; Medicare Advantage Growth Persists; and NAACOS Excellence Awards

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.

Healthcare Leaders Push Forward on Value-Based Care Amid Challenges
Value-based care prioritizes patient outcomes and cost reduction, requiring alignment of reimbursement models and financial sustainability management. Payers are reforming the payment models, but aligning specialty care with value-based goals remains challenging, according to the AJMC.

Medicare Advantage Growth Persists Ahead of Open Enrollment
Despite a tumultuous year of CMS and provider scrutiny, health plans are heading into the 2024 open enrollment season with strong Medicare Advantage growth behind them and positive enrollment projections, a report from Better Medicare Alliance highlighted.

Comparing Real-World, Synthetic and De-Identified Data
Real-world, synthetic and de-identified data all play a role in healthcare analytics efforts, but knowing which type of data to use is key for success, according to this recent HealthTech Analytics article.

Blue Shield of California, Salesforce Partner on Prior Authorization
Blue Shield of California and Salesforce are teaming up to solve a significant healthcare challenge — providing physicians and their patients prior authorization answers in near real-time, rather than days, according to this recent press release.

Oscar Health Introduces New Plans for 2025
Oscar Health will offer individual plans in 504 markets in 18 states. It will add new markets in Texas, Oklahoma, Missouri, Illinois, Michigan, Ohio, North Carolina, Georgia and New Jersey in 2025, according to this recent Becker’s Payer Issues article.

NAACOS Excellence Awards Presented to Three ACOs at Fall Conference
The National Association of Accountable Care Organizations (NAACOS) recognized three members for their outstanding commitment and accomplishments in leveraging accountable care to transform healthcare by improving quality and outcomes, lowering or slowing growth of costs, and increasing patient and provider satisfaction.