13 Feb Health Data News Roundup: Future of Medicare Advantage Risk Adjustment Data Validation; Quality of Care When Assess Plans; and California Health Data Exchange News

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 Plans Rejected 2M Prior Authorization Requests in 2021
Medicare Advantage plans denied 2 million prior authorization requests in 2021 and just 11 percent of those requests were appealed, according to an issue brief from the Kaiser Family Foundation (KFF).

The Future of Medicare Advantage Risk Adjustment Data Validation
Blue Cross Blue Shield Association, Humana, Avalere, and MedPAC recently addressed the impacts of the finalized Medicare Advantage Risk Adjustment Data Validation rule.

Employers Emphasize Quality of Care When Assessing Health Plans
Employers remained dissatisfied with their health plans in 2022, but those who had higher health plan satisfaction indicated that their payer’s quality of care emphasis was a key driver, according to a new survey.

1,400 Healthcare Orgs Join CalHHS Data Exchange Framework
Over 1,400 organizations have joined the California Health and Human Services (CalHHS) Data Exchange Framework (DxF), the first-ever statewide data sharing agreement of its kind in California.

Blue Shield of California Adding Virtual Diabetes Care Partnership
Blue Shield of California is expanding its partnership with digital diabetes reversal program Virta Health. The payer is the first health plan in the state to offer Virta Health to members across multiple plans.

17 Things to Know About Medicare Advantage Star Ratings
Star ratings are the metrics CMS uses to rate the quality of Medicare Advantage and Part D plans, and here are 17 facts and updates to know about the rating system.