28 Aug Health Data News Roundup: Trust and Medicare Advantage Plans; CQMC Revises Quality Measures; and Elevance Rebranding CareMore

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.

For Medicare Advantage Plans, Trust and Problem Resolution Closely Associated with Likelihood to Renew
According to the J.D. Power 2023 U.S. Medicare Advantage Study, the biggest factors influencing retention in this fast-moving, highly competitive market for Medicare Advantage Plans are trust and the ability to resolve problems or complaints.

Trends in Price Ratios Between Commercial, Medicare Advantage Plans
Insurers often negotiate hospital prices for their commercial health plans that are up to five times the Medicare Advantage price, a study published in Health Affairs found.

CQMC Revises Quality Measures, AHIP Advocates for Better Alignment
Core Quality Measures Collaborative (CQMC) released new core quality measures and the implementation guidelines for certain core sets with eight of the ten specialties experienced updates to their measures.

Blue Shield of CA Launches Value-Based Pharmacy Model to Lower Drug Costs
Blue Shield of California (Blue Shield) has launched a value-based pharmacy model to improve member access to affordable prescription drugs.

What Technologies Do Providers Need for Value-Based Care Success?
Partnerships and contracts between healthcare stakeholders can kick-start value-based care participation, but providers must invest in technology to succeed in value-based models, according to this recent RevCycle Intelligence article.

Elevance Rebranding CareMore to Carelon Health
CareMore Health, an Elevance Health subsidiary, will rebrand as Carelon Health in January 2024. CareMore Health provides primary care to Medicaid and Medicare Advantage members.

Only 45 Percent of Patients Happy With Their Health Insurance
A new study shows that the majority of patients are not happy with their health plan with only 45 percent of the 2,800 people surveyed saying they were fully satisfied.