05 Feb Health Data News Roundup: MSSP ACO Program Grows for 2024; Medicare Advantage Plan Payments Increase; and Humana Expands CenterWell

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: 480 ACOs Now in Medicare Shared Savings Program, a New High
Last week, CMS announced on the latest numbers for participation in accountable care organization (ACO) programs it sponsors, with a total of 480 ACOs now participating in the Medicare Shared Savings Program (MSSP), the largest number to date.

NAACOS Statement on ACO Growth in 2024
NAACOS also issued a press release applauding this new ACO growth, but also noted that CMS should improving quality reporting requirements to make it less burdensome for ACOs.

CMS Proposes 3.7 Percent Increase in Medicare Advantage Plan Payments
Medicare Advantage plan payments will increase by 3.7 percent or $16 billion in 2025. CMS proposed in the Calendar Year (CY) 2025 Advance Notice for the Medicare Advantage and Medicare Part D Prescription Drug Programs.

HHS Seeks Stakeholder Input to Improve Medicare Advantage Transparency
HHS is seeking to improve data-sharing and transparency in the Medicare Advantage with regards to care access, provider networks, prior authorization, supplemental benefits, value-based care arrangements, health equity, marketing, and care quality.

Humana to Add Three More CenterWell Markets
Humana is expanding its CenterWell primary care business for seniors into three new markets in 2024 and adding new centers in eight existing markets.

Safeguards Needed for Generative AI EHR Data Summarization
While generative AI shows promise for EHR data summarization, using large language models (LLMs) to summarize clinical data brings risks that are not clearly covered by existing FDA safeguards, according to a viewpoint published in JAMA.

Medical Mutual Set to Acquire ProMedica Insurance Subsidiary
Medical Mutual has announced its intent to purchase Paramount Health, which offers Medicare Advantage, Individual ACA, commercial group and short-term insurance plans, and does business primarily in Ohio and Michigan.