20 Nov Health Data News Roundup: Effective AI for Payers Will Take Time; Medicare Advantage and Avoidable Hospitalizations; and UnitedHealth Humanitarian Efforts

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.

Significant Role for AI ‘Unlikely to Emerge Immediately’ for Payers
Artificial intelligence offers enormous potential for positive change within the health insurance industry, but like the integration of data analytics, that change will take time and be more pronounced in certain areas over others in the short-term, according to a new report.

Avoidable Hospitalizations Less Common in Medicare Advantage, Study Finds
Medicare Advantage beneficiaries were less likely to have avoidable hospitalizations than those in traditional Medicare, according to a study published in JAMA Health Forum.

CMS Proposals Address Anti-Competitive Practices in Medicare Advantage
CMS has proposed provisions to improve protections for Medicare Advantage beneficiaries, prevent anti-competitive practices, and strengthen access to behavioral healthcare services.

UnitedHealth Provides Humanitarian Aid to Israel, Gaza
The United Health Foundation is donating $1 million toward humanitarian aid for civilians affected by the ongoing Israel-Hamas war. This includes donating to Save the Children and Direct Relief.

EHR Data Sharing Shows Promise for Public Health Monitoring of Drug Use
EHR data sharing can support near-real-time information access on drug use-related healthcare use to guide clinical and public health responses, according to a study published in Health Affairs.

Fulfilling the Quadruple Aim of Healthcare with AI
Putting all the AI pieces into place effectively requires clarity of what organizations want to accomplish, and the Quadruple Aim remains at the very top — although how to get there will look different, according to this MedCity News article.

‘Medical-Grade’ AI is Poised to Help Health Systems Manage Their Data
There’s a need for generative AI systems that can understand an entire chart or EHR system – and clinical LLMs can improve patient outcomes and prevent clinician burnout, according to this recent Healthcare IT News article.