30 Sep Health Data News Roundup: Epic Lawsuit; Regulatory Changes and Interoperability; and Best-Rated Commercial Health Plans

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.

Healthcare Software Giant Epic Hit with Lawsuit Over US Patient Records
Last week, healthcare software giant Epic Systems was hit with a lawsuit by a startup accusing it of unlawfully controlling the market for U.S. medical records, harming patient care and causing health plans to pay higher costs, according to Reuters.

How Regulatory Changes Have Impacted Interoperability in 2024
There’s been significant regulatory actions impacting the healthcare space this year with federal agencies unveiling many new rules that promise to address major problem points that rankle providers and payers, as highlighted in this Health Data Management article.

NCQA: The Best-Rated Commercial Health Plans in Each State
Three commercial plans received five-star ratings from the National Committee for Quality Assurance, and they are Kaiser Foundation Health Plan of the Mid-Atlantic States, Blue Cross and Blue Shield of Massachusetts and Independent Health received the top rating.

Cigna Trims Medicare Advantage Plans in Eight States
Cigna is reshaping its Medicare Advantage (MA) plan lineup across eight states, affecting members in 36 health plans. The eight states impacted are Colorado, Florida, Illinois, Missouri, North Carolina, Tennessee, Texas and Utah.

Indiana HIE’s John Kansky on the Trajectory of Health Data Utilities, TEFCA
Indiana Health Information Exchange (IHIE) has been instrumental in the development of the concept of a health data utility (HDU), and here’s the Q&A interview with the organization’s President and CEO John Kansky in Healthcare Innovation.

States with Largest Medicaid Enrollment Declines
With Medicaid redeterminations complete in most states, Medicaid enrollment has decreased by 14.3 percent from March 2023, and here are the states with the largest enrollment declines.

Startup Medicare Advantage Plan Gets $140 Million
Startup Medicare Advantage plan Zing Health has raised $140 million in funding. The funding round was led by Health2047, a venture fund founded by the American Medical Association, CRG and First Trust Capital Partners.