{"id":37138,"date":"2024-09-03T09:00:55","date_gmt":"2024-09-03T09:00:55","guid":{"rendered":"https:\/\/imatsolutions.com\/?p=37138"},"modified":"2025-11-03T17:27:55","modified_gmt":"2025-11-03T17:27:55","slug":"health-data-news-roundup-215","status":"publish","type":"post","link":"https:\/\/imatsolutions.com\/index.php\/2024\/09\/health-data-news-roundup-215\/","title":{"rendered":"Health Data News Roundup: ACOs Thinking Like Payers; CommonWell Announces Platform Enhancements; and AI and Payer Modernization"},"content":{"rendered":"<p><em>Welcome to the Health Data Weekly News Roundup from IMAT Solutions. As the power of data continues to grow in the healthcare arena, today\u2019s 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. <\/em><\/p>\n<p><a href=\"https:\/\/www.hcinnovationgroup.com\/policy-value-based-care\/accountable-care-organizations-acos\/article\/55135951\/providence-population-health-exec-on-learning-to-think-like-a-payer\" target=\"_blank\" rel=\"noopener\"><strong>Providence Population Health Exec on \u2018Learning to Think Like a Payer\u2019<\/strong><\/a><br \/>\nProvidence Population Health Management leads the multi-state health system\u2019s 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 <a href=\"https:\/\/www.hcinnovationgroup.com\/policy-value-based-care\/accountable-care-organizations-acos\/article\/55135951\/providence-population-health-exec-on-learning-to-think-like-a-payer\" target=\"_blank\" rel=\"noopener\"><em>Healthcare Innovation<\/em> article<\/a>.<\/p>\n<p><a href=\"https:\/\/www.fiercehealthcare.com\/payers\/feds-killed-plan-curb-medicare-advantage-overbilling-after-industry-opposition\" target=\"_blank\" rel=\"noopener\"><strong>Feds Killed Plan to Curb Medicare Advantage Overbilling After Industry Opposition<\/strong><\/a><br \/>\nA decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars\u2014only to abruptly back off amid an \u201cuproar\u201d from the industry, according to this <a href=\"https:\/\/www.fiercehealthcare.com\/payers\/feds-killed-plan-curb-medicare-advantage-overbilling-after-industry-opposition\" target=\"_blank\" rel=\"noopener\"><em>Fierce Healthcare<\/em> article<\/a>. <\/p>\n<p><a href=\"https:\/\/www.mywabashvalley.com\/business\/press-releases\/ein-presswire\/738637177\/commonwell-health-alliance-announces-members-enhancements-to-advance-interoperability-with-tefca-ready-platform\/\" target=\"_blank\" rel=\"noopener\"><strong>CommonWell Health Alliance Announces Enhancements to Advance Interoperability with TEFCA-Ready Platform<\/strong><\/a><br \/>\nLast week, CommonWell Health Alliance <a href=\"https:\/\/www.mywabashvalley.com\/business\/press-releases\/ein-presswire\/738637177\/commonwell-health-alliance-announces-members-enhancements-to-advance-interoperability-with-tefca-ready-platform\/\" target=\"_blank\" rel=\"noopener\">announced<\/a> new platform enhancements following the successful launch of its new platform, which mark significant advancements in CommonWell\u2019s commitment to improving and increasing healthcare data sharing nationwide.<\/p>\n<p><a href=\"https:\/\/medcitynews.com\/2024\/08\/the-truth-about-ai-and-healthcare-payer-modernization\/\" target=\"_blank\" rel=\"noopener\"><strong>The Truth About AI and Healthcare Payer Modernization<\/strong><\/a><br \/>\nWith so much hinging on technology that is the subject of so much hype, it is important to understand where AI actually helps at present \u2014 and where it most definitely does not, as highlighted in this recent <a href=\"https:\/\/medcitynews.com\/2024\/08\/the-truth-about-ai-and-healthcare-payer-modernization\/\" target=\"_blank\" rel=\"noopener\">MedCity News Op-Ed<\/a>. <\/p>\n<p><a href=\"https:\/\/www.beckerspayer.com\/payer\/carefirst-johns-hopkins-launch-ai-accelerator.html\" target=\"_blank\" rel=\"noopener\"><strong>CareFirst, Johns Hopkins Launch AI Accelerator<\/strong><\/a><br \/>\nCareFirst BlueCross BlueShield, Johns Hopkins University and Techstars <a href=\"https:\/\/www.beckerspayer.com\/payer\/carefirst-johns-hopkins-launch-ai-accelerator.html\" target=\"_blank\" rel=\"noopener\">will partner on<\/a> 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.<\/p>\n<p><a href=\"https:\/\/www.beckerspayer.com\/payer\/cms-awards-100m-to-aca-navigators.html\" target=\"_blank\" rel=\"noopener\"><strong>CMS Awards $100M to ACA Navigators<\/strong><\/a><br \/>\nCMS has <a href=\"https:\/\/www.beckerspayer.com\/payer\/cms-awards-100m-to-aca-navigators.html\" target=\"_blank\" rel=\"noopener\">awarded $100 million<\/a> 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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to the Health Data Weekly News Roundup from IMAT Solutions. As the power of data continues to grow in the healthcare arena, today\u2019s 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 \u2018Learning to Think Like&#8230;<\/p>\n","protected":false},"author":8,"featured_media":20195,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[265],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/37138"}],"collection":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/comments?post=37138"}],"version-history":[{"count":2,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/37138\/revisions"}],"predecessor-version":[{"id":37140,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/37138\/revisions\/37140"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media\/20195"}],"wp:attachment":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media?parent=37138"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/categories?post=37138"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/tags?post=37138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}