15 Jul Health Data News Roundup: MA Plans 2023 Financial Performance; HHS Proposes HTI-2 Rule; and AI Opportunities for Health 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.

Medicare Advantage, Individual Markets Did Well Financially in 2023
Medicare Advantage and individual health insurance marketplace plans achieved the best results on certain financial performance indicators in 2023, according to a recent KFF brief.

HHS Proposes HTI-2 Rule to Enhance Healthcare Data Sharing and Interoperability
HHS has taken a significant step towards improving healthcare data exchange with the release of the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule.

An AI Opportunity for Health Insurers
Health insurers stand to gain substantial benefits if they can fully integrate AI and automation into the end-to-end processes of each part of their business, according to this recent McKinsey article.

FDA Officials: Payers Should Be More Involved in Evidence Generation
Payers should be more involved in evidence generation because it will help bring about better coverage decisions, policies, and claims data for real-world evidence in medical product evaluation, according to the U.S. Food and Drug Administration (FDA).

Transitioning From FFS to Value-Based Care: One CMO’s Journey
This recent Healthcare Innovation interview addresses the transition from fee-for-service into value-based care delivery and payment, and what that evolution has been like for an internal medicine physician and his fellow physicians in his practice and across Complete Health.

Proposed Rule on Shared Savings Calculations
On June 28, CMS announced a Proposed Rule titled Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023 (CMS-1799-P).