20 Jan Health Data News Roundup: Healthcare AI is More Expensive Than Imagined; McKinsey Analysis for 2025; and TEFCA One Year Post-Go-Live

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 AI, Intended to Save Money, Turns Out to Require a Lot of Expensive Humans
According to a recent Rise Health article that is challenging conventional wisdom, it turns out the use of Artificial Intelligence (AI) in healthcare can be more costly for health systems — pointing to the need for hiring AI specialists — than previously imagined.

McKinsey: What to Expect in U.S. Healthcare in 2025 and Beyond
Industry economics are shifting toward non-acute care delivery, healthcare software, data, analytics, and specialty pharmacy segments, according to McKinsey’s recent “What to Expect in Healthcare in 2025” analysis.

CMS Releases Proposed 2026 Payment Updates for Medicare Advantage, Part D
The Centers for Medicare & Medicaid Services recently proposed a 4.3 percent payment increase to Medicare Advantage plans for calendar year 2026, amounting to approximately $21 billion, according to this American Hospital Association analysis.

2025 ACA Open Enrollment Breaks Records with Time to Spare
The Affordable Care Act marketplace broke previous enrollment records by reaching 23.6 million enrollees during ACA open enrollment for 2025, according to a recent CMS press release.

Industry Perspectives on TEFCA One Year Post-Go-Live
TEFCA facilitated the exchange of 7.8 million documents in its first year, but additional efforts are needed to expand use cases across public health and payer-provider exchange, according to this recent EHR Intelligence article.

Where Payers Should Be Focusing Their Member Experience Efforts
A new study from Press Ganey found that people who gave poor scores for safety and privacy in surveys following a visit to their primary care providers also frequently awarded their health plan one star on quality and access to needed care on Medicare consumer services.