What You Should Know:
- Monogram Health, a Nashville, TN-based kidney disease benefit management and care delivery company has closed a $160 million Series B funding round led by TPG Capital, the private equity platform of global alternative asset firm TPG. The funding round also includes existing investors Frist Cressey Ventures and Norwest Venture Partners, as well as Humana Inc. and other notable national and regional strategic investors.
- Monogram is focused exclusively on managing
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Health IT | News, Analysis, Insights - HIT Consultant
The Crucial Role of SDOH Data in Value-Based Care
Roughly $4 trillion is spent on healthcare annually in the U.S. Despite this massive expenditure, roughly 80% of health outcomes are attributed to social, behavioral and environmental factors, known as social determinants of health (SDOH).
What has been far less clear is how providers and payers can fully harness SDOH data to proactively manage the health of patients and members. Technological and cultural barriers have made it difficult for disparate parties such as
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One Medical Acquires Value-Based Primary Care Group Iora Health for $2.1B – Health M&A
What You Should Know:
- Today, One Medical (NASDAQ: ONEM) announced its intent to acquire Iora Health, a value-based primary care group for serving roughly 38,000 Medicare patients through digital health and 47 in-person medical offices in ten markets across the United States for about $2.1B in stock.
- Iora Health’s relationship-driven primary care model focuses on relationships to improve health outcomes and significantly lower costs than the traditional healthcare system.
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TailorMed Nabs $20M for Patient Financial Navigation Platform, Backed by Providence Ventures
What You Should Know:
- TailorMed Medical Ltd., a New York City-based patient financial navigation technology company, today announced a $20 million investment led by Providence Ventures. The round included new investors UnityPoint Health Ventures, Almeda Ventures, Bridges Israel and Discount Capital with participation from existing investors Accelmed, Sanara Ventures and Triventures.
- Founded in 2016, TailorMed is focused on ensuring patients get the care they need in a difficult
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33% of Hospital Execs Reported Average Denial Rates of More than 10%
What You Should Know:
According to a recent survey of over 130 hospital executives across the nation, the average denials rate is between 6% and 13%, and over 1/3 of hospital reimbursement executives surveyed responded that their organizations are nearing the denials danger zone of 10%.
The key findings from Harmony Healthcare reflects the need for stronger denials prevention and recovery solutions. Research shows that approximately 85% of denials are preventable, but
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CAQH, EHNAC Partner to Provide Incentives for FHIR App Developers to Become Accredited
What You Should Know:
- CAQH and the Electronic Healthcare Network Accreditation Commission (EHNAC) have partnered to provide incentives for application developers participating in the CAQH Endpoint Directory to become accredited through the Trusted Dynamic Registration and Authorization Accreditation Program (TDRAAP) from EHNAC and UDAP.org, publisher of the Unified Data Access Profiles.
- TDRAAP accreditation affirms an app’s technical
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PE Firm Warburg Pincus Makes Minority Investment in GHX, Thoma Bravo Exits
What You Should Know:
- GHX, a healthcare supply chain leader announced it has entered into a definitive agreement to receive a strategic investment from private equity firm Warburg Pincus. As part of this transaction, minority investor Thoma Bravo has exited its investment. Existing investor Temasek, an investment company headquartered in Singapore, will remain the majority equity holder.
- GHX has employees in the United States, Canada and Europe and is known for operating the largest
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Finetuning Quality Measure Reporting to Perform Like Professional Athletes
Healthcare organizations deal with a seemingly endless list of demands, including expanding access to care, financial sustainability, staffing shortages, rigorous data security, government regulations and quality improvement initiatives. Many organizations can operate at full speed and still find they cannot keep up with all the demands.
Quality programs facilitated by CMS and commercial health plans provide critical funding to support healthcare operations. They require diligent data
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Ensemble Acquires Digital Patient Communications Platform Odeza – M&A
What You Should Know:
- Ensemble Health Partners (“Ensemble”), a provider of end-to-end revenue cycle management, announced today it has acquired Odeza, an all-in-one digital consumer communications platform that integrates with leading EHR platforms to unify, simplify and automate patient interactions. Financial details of the acquisition were not disclosed.
- The integration of this innovative technology into Ensemble’s proprietary revenue cycle platform, Ensemble IQ, will provide
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CareCloud Acquires Health IT Consulting Firm MedMatica – M&A
What You Should Know:
- CareCloud today announced it has acquired Santa Rosa Staffing, Inc. and the assets of MedMatica Consulting Associates, Inc., through the closing of an Asset and Stock Purchase Agreement. Financial details of the acquisition were not disclosed.
- The acquisition reflects CareCloud’s continued expansion into the hospital and health system market, through its acquisition of industry leading businesses that provide IT consulting, strategic advisory services and
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