15 Sep Health Data News Roundup: AI Won’t Replace Doctors; AI and Prior Authorization; and Gartner AI in Value Care Report

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.

Gartner® Report: AI in Value-Based Care — Part 2, Implementation Success for Healthcare CIOs
AI is rapidly advancing value-based care by improving contract reimbursement, risk stratification, care coordination, and predictive analytics, according to Gartner’s new report AI in Value-Based Care — Part 2, Implementation Success for Healthcare CIOs. Click here for exclusive access to this report.

AI Is Revolutionizing Health Care. But It Can’t Replace Your Doctor
The future of medicine isn’t about replacing health care providers with AI and algorithms—it’s about designing tools that sharpen human judgment and amplify what they can accomplish, according to Time Magazine.

Lawmakers Scrutinize AI’s Role in Prior Authorization, Mental Healthcare in House Hearing
At a recent House subcommittee hearing, U.S. lawmakers expressed concerns about whether artificial intelligence is being appropriately used in healthcare and called for stronger guardrails to supervise the quickly evolving technology, according to Healthcare Dive.

Can AI Make Healthcare Less Expensive?
Many Americans struggle with the rising cost of healthcare, and AI has the potential to bend the cost curve, according to this recent analysis highlighted in a Morgan Stanley podcast.

HHS Expands Catastrophic Coverage Eligibility
HHS plans to expand access to catastrophic health coverage through its new hardship exemption guidance, and more people will be eligible for catastrophic coverage beginning Nov. 1, 2025, when open enrollment begins, according to xtelligent Healthcare Payers.

Early Medicare Advantage Stars Data Bodes Well for UnitedHealth
UnitedHealth expects to have roughly 78 percent of its Medicare Advantage enrollees in plans rated four stars or above next year, and is a key cutoff for valuable bonuses in the privatized Medicare program, according to Healthcare Dive.