14 Nov Health Data News Roundup: 2023 Star Ratings Impacting Payer Revenue; Medicare Advantage Markets Competition; and Amazon Pharmacy Gaining Traction

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.

Medicare Advantage 2023 Star Ratings Impacting Payer Revenue
For many health payers, the decline in 2023 Star Ratings has a direct impact on revenue growth. Fortunately, the IMAT DaaS solution can boost next year’s ratings.

Community Health Plans Lowered Consumer Healthcare Spending in 2022
Alliance of Community Health Plan (ACHP) payers have secured lower healthcare spending for members in 2022 through premium adjustments, efforts related to prescription drug pricing, and more, according to an ACHP affordability report.

Value-Based Payment, Fee-for-Service Levels Hold Steady
Value-based payment levels barely moved in 2021, with some movement in the downside financial risk category, according to the latest data from the Health Care Payment Learning and Action Network (HCP LAN).

AMA: 79% of Medicare Advantage Markets Have Little Competition
Nearly 80 percent of metropolitan statistical areas (MSAs) had highly concentrated Medicare Advantage markets, highlighting the lack of competition in the commercial health insurance market.

WEDI Calls on HHS to Delay No Surprises Act Data Exchange Requirements
The Workgroup for Electronic Data Interchange (WEDI) has called on the Department of Health and Human Services (HHS) to delay the No Surprises Act data exchange requirements.

Centivo Taps Chief Technology Officer
Centivo, a self-funded health plan, has named Enrique Olivares chief technology officer, who was most recently vice president of integration at Point32Health.

Amazon Pharmacy is Scooping Up Payer Contracts
Amazon’s online pharmacy is continuing to attract the attention of payers across the country. Starting next year, it will become the exclusive home prescription delivery service for over 2 million Florida Blue members.