03 Sep Health Data News Roundup: ACOs Thinking Like Payers; CommonWell Announces Platform Enhancements; and AI and Payer Modernization

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.

Providence Population Health Exec on ‘Learning to Think Like a Payer’
Providence Population Health Management leads the multi-state health system’s MSS initiative, which is the largest ACO in the country, and its COO shared this insights about the move to value-based care in this Healthcare Innovation article.

Feds Killed Plan to Curb Medicare Advantage Overbilling After Industry Opposition
A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars—only to abruptly back off amid an “uproar” from the industry, according to this Fierce Healthcare article.

CommonWell Health Alliance Announces Enhancements to Advance Interoperability with TEFCA-Ready Platform
Last week, CommonWell Health Alliance announced new platform enhancements following the successful launch of its new platform, which mark significant advancements in CommonWell’s commitment to improving and increasing healthcare data sharing nationwide.

The Truth About AI and Healthcare Payer Modernization
With so much hinging on technology that is the subject of so much hype, it is important to understand where AI actually helps at present — and where it most definitely does not, as highlighted in this recent MedCity News Op-Ed.

CareFirst, Johns Hopkins Launch AI Accelerator
CareFirst BlueCross BlueShield, Johns Hopkins University and Techstars will partner on an accelerator program to launch new healthcare-focused AI companies. The program, Techstars AI Health Baltimore powered by Johns Hopkins and CareFirst, will support early-stage startups in healthtech, medtech and biotech.

CMS Awards $100M to ACA Navigators
CMS has awarded $100 million to organizations that help individuals enroll in ACA marketplace coverage. The grants will go to 44 organizations ahead of the open enrollment period and are part of a larger investment in ACA enrollment that includes $500 million over five years.