27 Oct Health Data News Roundup: Healthcare AI is Surging; AI and Quality Performance; and MA Markets Less Crowded

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.

AI Adoption in Healthcare is Surging: What A New Report Reveals
Healthcare has emerged as the new leader in enterprise artificial intelligence (AI) adoption, deploying AI at more than twice the rate of the broader economy, according to a new study highlighted by Forbes.

Why AI Ready Data Drives Sustainable Quality Performance for Health Plans
In his latest blog, IMAT’s Mark Coetzer explains how clean, complete, and connected data helps health plans improve HEDIS, CAHPS, Star Ratings, and NCQA performance by enabling proactive gap closure and stronger audit readiness. Read the blog post here.

Optum Launches AI-Powered Claims System ‘To Eliminate Complexity and Administrative Waste’
UnitedHealth’s Optum has launched Optum Real, a real-time claims system designed to streamline the claims and reimbursement process by providing instant coverage validation for providers, according to Becker’s Payer Issues.

Why HIEs Will Be Essential to CMS’ Health Tech Ecosystem
One of the primary goals of the CMS Health Technology Ecosystem initiative is to address the lack of interoperability in healthcare, and it will require participating tech companies and providers to collaborate closely with regional HIEs to achieve its goal of boosting interoperability, according to xtelligent Health IT and EHR.

Humana, Providence Collaborate on Scalable Data Exchange Ecosystem
Last week, Humana and Providence unveiled a new data exchange partnership the major payer and provider said could become a blueprint for the broader industry, according to Fierce Healthcare.

MA Markets Getting Less Crowded, But to Minimal Cost Benefit
Medicare Advantage is getting more competitive, but less concentration has not yielded significant results for the Medicare program and its beneficiaries, according to a new study that was highlighted by xtelligent Healthcare Payers.

Gartner® Report: AI in Value-Based Care — Part 2, Implementation Success for Healthcare CIOs
AI is rapidly advancing value-based care by improving contract reimbursement, risk stratification, care coordination, and predictive analytics, according to Gartner’s new report AI in Value-Based Care — Part 2, Implementation Success for Healthcare CIOs. Click here for exclusive access to this report.