18 Nov Health Data News Roundup: Medicare Advantage Plans Ramp Up Lobbying Efforts; the Payer Evolution; and Advancing Value-Based Care

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.

CVS Health Exec: Payers Need to Stop Making Behavioral Health Providers Jump Through Hoops in Order to Participate in Value-Based Care
The industry is moving away from fee-for-service care models and toward value-based care — but contracting in these arrangements remains especially difficult for behavioral health providers, according to Taft Parsons III, chief psychiatric officer at CVS Health/Aetna.

Payer Evolution: From Healthcare Gatekeeper to Guardian
In the complex landscape of American healthcare, health insurance payers are often perceived as gatekeepers — as obstacles to care, despite escalating medical costs — but they need to be viewed as guardians, according to this Forbes Op-Ed.

Medicare Advantage Plans Ramp Up Lobbying Efforts
Medicare Advantage insurers are gearing up to convince lawmakers that the Biden administration’s policies have been detrimental to older Americans enrolled in the privately run alternative to Medicare, according to Politico.

HHS Sued Over Medicare Advantage Audit Records
KFF Health News has sued the U.S. Department of Health and Human Services Office of Inspector General to compel it to release a range of Medicare Advantage health plan audits and other financial records.

How Connected Care Tech Can Boost Provider Experience
Northwell Health is using advanced connected care technology, including AI, to reduce administrative burdens for clinicians and foster a connected healthcare experience, according to this Tech Target article.

Interoperability of Health Data Using FHIR Mapping Language: Transforming HL7 CDA To FHIR With Reusable Visual Components
Ecosystem-centered healthcare innovations, such as digital health platforms, patient-centric records, and mobile health applications, depend on the semantic interoperability of health data, according to a new study.

Healthcare Leaders Highlight Collaborative, Patient-Focused Strategies for Advancing Value-Based Care
Healthcare leaders emphasized the need for collaboration, data standardization, and an iterative, patient-centric approach to advance value-based care (VBC) during a panel discussion at CAQH Connect 2024 in Washington, DC.