02 Feb Health Data News Roundup: CMS Proposes Excluding Chart Reviews; Navigating State Health AI Laws; and TEFCA False Transparencies

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.

CMS Proposes Excluding Chart Reviews from MA Risk Scoring in 2027 Payment Rule
The Trump administration is aiming to curb Medicare Advantage overpayments, proposing a rule that would stamp out one strategy insurers use to inflate their members’ sicknesses to get higher reimbursement in the privatized Medicare program, according to Healthcare Dive.

How Providers Can Navigate the Patchwork of State Health AI Laws
As health AI innovation accelerates at breakneck speed, regulatory efforts are struggling to keep up, and experts recommend that health systems adopt flexible, principles-based governance structures, according to xtelligent Healthcare Analytics.

Building Trust: Public Priorities for Health Care AI Labeling
A Michigan-based deliberative study found strong public support for patient-informed artificial intelligence (AI) labeling in health care, emphasizing transparency, privacy, equity, and safety to build trust, according to the AJMC.

TEFCA Must Address False Representations, Health Systems Say
More than 40 healthcare organizations are urging HHS to implement stricter onboarding and transparency requirements for the Trusted Exchange Framework and Common Agreement and Carequality to prevent the fraudulent exchange of protected medical information, according to Healthcare IT News.

CareFirst BCBS Sues Over 2026 Medicare Advantage Star Ratings
CareFirst BlueCross BlueShield is suing CMS over its 2026 Medicare Advantage star ratings, alleging improper calculations cost the insurer an estimated $32 million in quality bonus payments, according to Becker’s Payer Issues.

ACA Marketplace Enrollment Dropped By 1.4m. How Will That Affect Hospitals?
Enrollment in Affordable Care Act (ACA) marketplace plans dropped by 1.4 million, with 22.8 million people covered as of Jan. 3 compared to about 24.2 million this time last year, and this could have an impact on hospitals, according to Healthcare Brew.