{"id":39565,"date":"2025-02-24T09:00:56","date_gmt":"2025-02-24T09:00:56","guid":{"rendered":"https:\/\/imatsolutions.com\/?p=39565"},"modified":"2025-02-24T00:52:30","modified_gmt":"2025-02-24T00:52:30","slug":"health-data-news-roundup-238","status":"publish","type":"post","link":"https:\/\/imatsolutions.com\/index.php\/2025\/02\/health-data-news-roundup-238\/","title":{"rendered":"Health Data News Roundup: Most Patients Don\u2019t Trust AI; Providers Frustrated Over Denied Treatments; and Top Five Issues for Payers"},"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.techtarget.com\/healthtechanalytics\/news\/366619389\/Most-patients-do-not-trust-health-systems-to-use-AI-responsibly\" target=\"_blank\" rel=\"noopener\"><strong>Most Patients Do Not Trust Health Systems to Use AI Responsibly<\/strong><\/a><br \/>\nTrust in health systems to use AI responsibility and protect them from AI harm is low among patients, indicating the need to improve health system trustworthiness, according to a recent <a href=\"https:\/\/www.techtarget.com\/healthtechanalytics\/news\/366619389\/Most-patients-do-not-trust-health-systems-to-use-AI-responsibly\" target=\"_blank\" rel=\"noopener\">TechTarget article<\/a>. <\/p>\n<p><a href=\"https:\/\/www.alvarezandmarsal.com\/insights\/top-5-issues-facing-health-plans-2025\" target=\"_blank\" rel=\"noopener\"><strong>Top Five Issues Facing Health Plans in 2025<\/strong><\/a><br \/>\nAs we head into 2025, U.S. health plans are facing growing pressures stemming from a mix of economic challenges, regulatory complexities and rising consumer expectations, according to a recent <a href=\"https:\/\/www.alvarezandmarsal.com\/insights\/top-5-issues-facing-health-plans-2025\" target=\"_blank\" rel=\"noopener\">A&#038;M blog post<\/a>. <\/p>\n<p><a href=\"https:\/\/www.hcinnovationgroup.com\/policy-value-based-care\/news\/55269364\/providers-frustrated-with-payers-over-denied-treatments\" target=\"_blank\" rel=\"noopener\"><strong>Providers Frustrated with Payers Over Denied Treatments<\/strong><\/a><br \/>\nAccording to a <a href=\"https:\/\/www.hcinnovationgroup.com\/policy-value-based-care\/news\/55269364\/providers-frustrated-with-payers-over-denied-treatments\" target=\"_blank\" rel=\"noopener\">new survey<\/a>, healthcare providers chafe when insurance companies second-guess their medical decisions &#8212; with nearly 74 percent of providers stating that payers declined to cover prescribed treatments at least some of the time.<\/p>\n<p><a href=\"https:\/\/www.beckerspayer.com\/payer\/humana-cmo-medicare-advantage-rate-increase-does-not-fully-account-for-rising-costs.html\" target=\"_blank\" rel=\"noopener\"><strong>Humana CMO: Medicare Advantage Rate Increase &#8216;Does Not Fully Account For&#8217; Rising Costs<\/strong><\/a><br \/>\nHumana&#8217;s chief medical officer, Kate Goodrich, MD, says CMS&#8217; proposed Medicare Advantage rate increase for 2026 &#8220;does not fully account for&#8221; the rising medical costs experienced by the company over the last few years, according to a recent <a href=\"https:\/\/www.beckerspayer.com\/payer\/humana-cmo-medicare-advantage-rate-increase-does-not-fully-account-for-rising-costs.html\" target=\"_blank\" rel=\"noopener\">Becker\u2019s Payer Issues<\/a> article. <\/p>\n<p><a href=\"https:\/\/www.statnews.com\/2025\/02\/13\/lawsuit-unitedhealth-artificial-intelligence-care-denials-medicare-advantage-moves-forward\/\" target=\"_blank\" rel=\"noopener\"><strong>Judge Rules Lawsuit Over UnitedHealth\u2019s AI Care Denials Can Move Forward<\/strong><\/a><br \/>\nLast week, Medicare Advantage beneficiaries who are suing UnitedHealth Group over allegedly wrongful denials of care that were based on artificial intelligence scored a victory, as a judge ruled their case could move forward, according to <a href=\"https:\/\/www.statnews.com\/2025\/02\/13\/lawsuit-unitedhealth-artificial-intelligence-care-denials-medicare-advantage-moves-forward\/\" target=\"_blank\" rel=\"noopener\">STAT Magazine<\/a>.<\/p>\n<p><a href=\"https:\/\/www.aha.org\/news\/headline\/2025-02-13-kff-cutting-medicaid-expansion-match-rate-could-result-20-million-losing-coverage\" target=\"_blank\" rel=\"noopener\"><strong>KFF: Cutting Medicaid Expansion Match Rate Could Result in 20 Million Losing Coverage<\/strong><\/a><br \/>\nAccording to a recent <a href=\"https:\/\/www.aha.org\/news\/headline\/2025-02-13-kff-cutting-medicaid-expansion-match-rate-could-result-20-million-losing-coverage\" target=\"_blank\" rel=\"noopener\">KFF analysis<\/a>, a proposal to cut the Affordable Care Act&#8217;s Medicaid expansion match rate could reduce total Medicaid spending by up to $1.9 trillion over a 10-year period, causing potentially 20 million people to lose Medicaid coverage.<\/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. Most Patients Do Not Trust Health Systems to Use&#8230;<\/p>\n","protected":false},"author":8,"featured_media":39567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/39565"}],"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=39565"}],"version-history":[{"count":1,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/39565\/revisions"}],"predecessor-version":[{"id":39566,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/39565\/revisions\/39566"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media\/39567"}],"wp:attachment":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media?parent=39565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/categories?post=39565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/tags?post=39565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}