{"id":37454,"date":"2024-09-30T09:00:38","date_gmt":"2024-09-30T09:00:38","guid":{"rendered":"https:\/\/imatsolutions.com\/?p=37454"},"modified":"2025-11-03T17:27:07","modified_gmt":"2025-11-03T17:27:07","slug":"health-data-news-roundup-epic-lawsuit-regulatory-changes-and-interoperability-and-best-rated-commercial-health-plans","status":"publish","type":"post","link":"https:\/\/imatsolutions.com\/index.php\/2024\/09\/health-data-news-roundup-epic-lawsuit-regulatory-changes-and-interoperability-and-best-rated-commercial-health-plans\/","title":{"rendered":"Health Data News Roundup: Epic Lawsuit; Regulatory Changes and Interoperability; and Best-Rated Commercial Health Plans"},"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.reuters.com\/legal\/litigation\/healthcare-software-giant-epic-hit-with-lawsuit-over-us-patient-records-2024-09-23\/\" target=\"_blank\" rel=\"noopener\"><strong>Healthcare Software Giant Epic Hit with Lawsuit Over US Patient Records<\/strong><\/a><br \/>\nLast 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, <a href=\"https:\/\/www.reuters.com\/legal\/litigation\/healthcare-software-giant-epic-hit-with-lawsuit-over-us-patient-records-2024-09-23\/\" target=\"_blank\" rel=\"noopener\">according to Reuters<\/a>. <\/p>\n<p><a href=\"https:\/\/www.healthdatamanagement.com\/articles\/how-regulatory-changes-have-impacted-interoperability-in-2024\" target=\"_blank\" rel=\"noopener\"><strong>How Regulatory Changes Have Impacted Interoperability in 2024<\/strong><\/a><br \/>\nThere\u2019s 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 <a href=\"https:\/\/www.healthdatamanagement.com\/articles\/how-regulatory-changes-have-impacted-interoperability-in-2024\" target=\"_blank\" rel=\"noopener\"><em>Health Data Management<\/em> article<\/a>. <\/p>\n<p><a href=\"https:\/\/www.beckerspayer.com\/payer\/the-best-rated-commercial-health-plans-in-each-state-ncqa.html\" target=\"_blank\" rel=\"noopener\"><strong>NCQA: The Best-Rated Commercial Health Plans in Each State<\/strong><\/a><br \/>\nThree commercial plans <a href=\"https:\/\/www.beckerspayer.com\/payer\/the-best-rated-commercial-health-plans-in-each-state-ncqa.html\" target=\"_blank\" rel=\"noopener\">received five-star ratings<\/a> 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. <\/p>\n<p><a href=\"https:\/\/www.fiercehealthcare.com\/payers\/cigna-trims-medicare-advantage-plans-eight-states\" target=\"_blank\" rel=\"noopener\"><strong>Cigna Trims Medicare Advantage Plans in Eight States<\/strong><\/a><br \/>\nCigna is <a href=\"https:\/\/www.fiercehealthcare.com\/payers\/cigna-trims-medicare-advantage-plans-eight-states\" target=\"_blank\" rel=\"noopener\">reshaping<\/a> 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.<\/p>\n<p><a href=\"https:\/\/www.hcinnovationgroup.com\/interoperability-hie\/health-information-exchange-hie\/article\/55141924\/indiana-hies-john-kansky-on-the-trajectory-of-health-data-utilities-tefca\" target=\"_blank\" rel=\"noopener\"><strong>Indiana HIE\u2019s John Kansky on the Trajectory of Health Data Utilities, TEFCA<\/strong><\/a><br \/>\nIndiana Health Information Exchange (IHIE) has been instrumental in the development of the concept of a health data utility (HDU), and here\u2019s the <a href=\"https:\/\/www.hcinnovationgroup.com\/interoperability-hie\/health-information-exchange-hie\/article\/55141924\/indiana-hies-john-kansky-on-the-trajectory-of-health-data-utilities-tefca\" target=\"_blank\" rel=\"noopener\">Q&#038;A interview<\/a> with the organization\u2019s President and CEO John Kansky in Healthcare Innovation.<\/p>\n<p><a href=\"https:\/\/www.beckerspayer.com\/payer\/states-with-largest-medicaid-enrollment-declines.html\" target=\"_blank\" rel=\"noopener\"><strong>States with Largest Medicaid Enrollment Declines<\/strong><\/a><br \/>\nWith Medicaid redeterminations complete in most states, Medicaid enrollment has decreased by 14.3 percent from March 2023, and <a href=\"https:\/\/www.beckerspayer.com\/payer\/states-with-largest-medicaid-enrollment-declines.html\" target=\"_blank\" rel=\"noopener\">here are the states<\/a> with the largest enrollment declines. <\/p>\n<p><a href=\"https:\/\/www.beckerspayer.com\/payer\/startup-medicare-advantage-plan-gets-140m.html\" target=\"_blank\" rel=\"noopener\"><strong>Startup Medicare Advantage Plan Gets $140 Million<\/strong><\/a><br \/>\nStartup Medicare Advantage plan Zing Health has <a href=\"https:\/\/www.beckerspayer.com\/payer\/startup-medicare-advantage-plan-gets-140m.html\" target=\"_blank\" rel=\"noopener\">raised $140 million<\/a> in funding. The funding round was led by Health2047, a venture fund founded by the American Medical Association, CRG and First Trust Capital Partners.<\/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. Healthcare Software Giant Epic Hit with Lawsuit Over US&#8230;<\/p>\n","protected":false},"author":8,"featured_media":37457,"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\/37454"}],"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=37454"}],"version-history":[{"count":2,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/37454\/revisions"}],"predecessor-version":[{"id":37456,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/37454\/revisions\/37456"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media\/37457"}],"wp:attachment":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media?parent=37454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/categories?post=37454"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/tags?post=37454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}