05 Aug Health Data News Roundup: Six Medicare Advantage Data Gaps; What’s Next for Gen AI in Healthcare; and Humana Inks Partnership with Google

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.

6 Medicare Advantage Data Gaps That the Centers for Medicare and Medicaid Services Must Fill
The Centers for Medicare and Medicaid Services must address gaps in Medicare Advantage broker compensation, network adequacy, prior authorization, supplemental benefits use, disenrollment, and enrollee out-of-pocket cost expenditure data, according to this analysis from American Progress.

Generative AI in Healthcare: Adoption Trends and What’s Next
Healthcare leaders say their organizations are eager to use generative AI to help enhance how healthcare stakeholders work and operate, but some are still adopting a wait-and-see approach, according to this recent McKinsey analysis.

High-Rated Medicare Advantage Plans Harder to Find in More Vulnerable Areas
Medicare Advantage plans available in the most socially vulnerable counties in the U.S. tend to have lower star ratings than those in less vulnerable counties, a study published in JAMA Network Open found.

Humana Expects Medicare Advantage Membership to Decline By ‘A Few Hundred Thousand’
Humana expects to lose a “few hundred thousand” Medicare Advantage members through market and plan exits in 2025. Humana CFO Susan Diamond said the company expects to lose these members, primarily through exiting markets where its plans are not profitable.

Why is There Tension Between Payers and Providers and What Can Be Done About It?
This recent Healthcare IT Today video highlights the tension between payers and providers, what can be done about it, and other ways payers and providers can create great experiences for their patients and members.

Humana Inks Multiyear Partnership with Google to Invest Deeper in Cloud, Gen AI Technologies
Humana inked a new multiyear agreement with Google Cloud to modernize its cloud infrastructure and build out generative AI solutions. The two companies tout the potential to use advanced technologies to reduce costs and improve the member experience.