16 Oct Health Data News Roundup: CMS Wants to Expand MSSP; Six Health Systems Launching MA Plans; and Ethical Use of AI for Payers

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 Wants to Expand Medicare Shared Savings Program
Last month during the NAACOS Fall 2023 Conference, CMS signaled that the MSSP is the core engine for expanding accountable care throughout the fee-for-service Medicare program.

Health Systems Collaborate with Leading Healthcare Players to Push Ethical Use of Generative AI
Leading health systems are joining together with health plans, research organizations, tech companies and nonprofit associations to exploring uses, pitfalls and best practices for generative AI in healthcare and research, and accelerate execution and real-world evidence.

What Are Major Payers Offering Medicare Advantage Members in 2024?
UnitedHealthcare, Humana, Cigna, and Aetna are aiming to keep premiums and prescription drug costs low for Medicare Advantage beneficiaries in 2024, according to this recent Health Payer Intelligence article.

Medicare Advantage’s Role in Reducing Healthcare Cost Differs by Patient’s Condition
According to a new study, Medicare Advantage had lower resource use than traditional Medicare for many conditions, and hospital inpatient services are a main source of explaining the difference in total resource use between the two types of Medicare.

AHIMA Launches Social Determinants of Health Data Initiative
The American Health Information Management Association (AHIMA) recently announced its Data for Better Health initiative, which aims to revolutionize healthcare through the use of social determinants of health (SDOH) data.

UHC Commercial Plan Focuses on Price Transparency, Preventive Care
UnitedHealthcare’s Affordable Care Act-compliant employer-sponsored health plan, Surest, is the payer’s fastest-growing commercial plan, and its emphasis on preventive care has contributed to its strong re-enrollment rate, according to a new study.

6 Health Systems Launching Medicare Advantage Plans
Some health systems may be dropping patients with Medicare Advantage plans, but here are six others that are continuing to expand into the MA market or are entering it for the first time in 2024.