24 Jul Health Data News Roundup: Top Five AI User Cases for Payers; UHC and Elevance Health Post Positive Earnings; and NLP EHR Integration Study

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.

Top Five AI Use Cases for Health Payers
For health payers, determining the most effective AI use cases for driving innovation investments has become a rapid and critical priority in 2023. Our latest blog post offers the top five AI use cases for health payers.

How Seven Payers Are Using Artificial Intelligence
From Elevance Health to Oscar Health, Centene and Blue Shield of California, here’s a rundown of how seven health payers are using AI – with speeding up prior authorization, creating digital concierges, detecting fraudulent claims, and beyond.

UHC Reports 13 Percent Revenue Growth in Q2 2023 Due to Rising Enrollment
UnitedHealth Group’s earnings call for the second quarter of 2023 featured revenue growth due to strong performance from the healthcare company’s insurance arm, UnitedHealthcare, and its healthcare services subsidiary, Optum.

Elevance Health posts $1.9 Billion Profit in Q2 2023
In addition, Elevance Health posted double-digit revenue growth and beat investor expectations in the second quarter of 2023, according to the company’s earnings report published July 19.

Medicare Advantage Plans Have Narrow Psychiatrist Networks, Study Finds
Psychiatrist networks in Medicare Advantage plans are narrower than those in Medicaid managed care and Affordable Care Act (ACA) plans, according to a recent study.

NLP EHR Integration Identifies Acute COVID-19 Cases with 94 Percent Sensitivity
EHR integration of natural language processing (NLP) models can effectively triage patients reporting positive at-home COVID-19 test results through the patient portal, according to a new study.

Unnecessary Utilization in CO Leads to $134M in Healthcare Spending
In 2021, approximately 2 million unnecessary healthcare services were delivered, leading to $134 million in superfluous healthcare spending, according to an analysis from the Center for Improving Value in Health Care (CIVHC).

Lowering Medicare Advantage Overpayments From Favorable Selection By Reforming Risk Adjustment
Medicare Advantage overpayments may be higher than the Medicare Payment and Advisory Commission estimates, and a recent Health Affairs study proposes two short-term and one long-term fix to reduce the rate of overpayments in the program.