Health Data News Roundup: MA Plans and Star Ratings Redo; Top Health Insurers for CX; and the Payer-Provider Model - IMAT Solutions
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08 Jul Health Data News Roundup: MA Plans and Star Ratings Redo; Top Health Insurers for CX; and the Payer-Provider Model

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.

Seven Medicare Advantage Plans Achieve 5-Star Ratings After CMS Redo
Seven additional Medicare Advantage contracts picked up five-star ratings after CMS recalculated its ratings for 2024. CMS said it would recalculate 2024-star ratings for all health plans after judges sided with health plans who challenged the methodology CMS uses.

Top-Ranked Health Insurers for Customer Experience In 2024: Forrester
Humana provides the best customer experience to its members, according to Forrester’s “U.S. Health Insurers Customer Experience Index Rankings” for 2024. The survey measured customer experience (CX) quality, customer loyalty, CX driver performance, and several other factors about the experience and the customer.

4 Digital Keys to Unlock the Potential of the Payer-Provider Model
This recent HealthTech article highlights how “payvider” organizations can take advantage of transformative models through digital capabilities to help enhance the patient experience.

Health Insurer Financial Performance in 2023
This new KFF brief examines two measures of financial performance – gross margins and medical loss ratios – in the Medicare Advantage, Medicaid managed care, individual, and fully insured group health insurance markets.

Provider Associations Seek Clarity on Notification Responsibilities for Change Healthcare Breach
CHIME and several healthcare provider associations have written to the Office for Civil Rights (OCR) Director, seeking greater clarity and guidance for clinicians and providers about the reporting responsibilities for the Change Healthcare data breach.

How DirectTrust Is Embracing Fax for Health Data Exchange
Industry stakeholders are working with DirectTrust to create a data standard for secure cloud fax to address health data exchange barriers and enhance data security, according to this recent TechTarget article.

Connecticut, Hawaii Joining Maryland, Vermont in CMS’ AHEAD Model
The Centers for Medicare & Medicaid Services has confirmed that Maryland and Vermont will participate in the first cohort of its state-based AHEAD all-payer model, with Connecticut participating in the second cohort, and Hawaii also expected to join.

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