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24 Executive Healthcare AI Predictions & Trends to Watch in 2025

HIT Consultant

Working backward from a well-defined goal allows us to create AI tools that effectively empower peoples mental health journeys. Consider all the potential benefits of mental health solutions that start with a clear endpoint in mind (e.g., Organizations that dont take this step will be rapidly left behind by their competitors who do.

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AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

HIT Consultant

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them.

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Inovalon Launches Race & Ethnicity Data Enrichment Offering for Health Plans

HIT Consultant

These challenges can affect the completeness of population data and hinder efforts to incorporate race and ethnicity data into holistic member-centric care and intervention planning, which can also significantly impact a health plan’s overall quality ratings. While promising, some indirect methods pose challenges as well.

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Racial Bias in Algorithms: How One State is Leading the Charge

NASHP

NCQA recently updated their Health Plan Accreditation Population Health Management (PHM) standard category to require organizations to assess its segmentation or stratification methodology for racial bias. The Center for Applied AI released a playbook that defines the processes and tools that can help measure and address bias.

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Back to the Future: Welcome to the Patient Centered Medical Home (Guest Post)

Health Dialog

Better Monitoring for Chronic Conditions and Preventive Care. Your health insurance company may have a list of these practices in your area. The National Committee for Quality Assurance has a directory of primary care physicians that have earned their approval as PCMH practices. Population Health Management.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

For example, rural residents are less likely than urban residents to obtain preventive services, including services needed to identify health conditions early in their onset. iii] Also, those living in rural areas are more likely to experience a preventable hospitalization. [iv] Health Aff (Millwood) 38 (12): 1993-2002.

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Cervical Cancer: Early Detection Is Key

NCQA

If you work at a health plan or care delivery organization, educate patients about cervical cancer screening guidelines and early detection. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Learn more by visiting the National Cancer Institutes website.