Cerner and naviHealth, a provider of post-acute management has announced an expanded relationship with plans to create a new offering for the Medicare’s Bundled Payments for Care Improvement Advanced program (BPCI Advanced). After working together for five years to streamline electronic workflows for post-acute discharge, Cerner and naviHealth anticipate launching the new value-based care offering to support BPCI Advanced, with an initial focus on the next CMS launch of the program in January
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
UnitedHealthcare Expands Bundled Payments with Medicare Advantage Plans
UnitedHealthcare announced this week it is expanding its use of bundled payment offerings to care providers participating in Medicare Advantage plan networks across more than 30 states to improve quality and lower costs. The expansion builds upon UnitedHealthcare’s existing work with the Centers for Medicare & Medicaid Services’ Bundled Payments for Care Improvement Advanced (BPCI Advanced) program for fee-for-service Medicare.UnitedHealthcare Care Bundles Program OverviewThe
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U.S. Healthcare Spending Reaches $420M Per Hour, On Track to Hit $12 Trillion by 2040
The United States currently spends more than $420 million per hour on healthcare, a number that is increasing by the minute and is expected to top $12 trillion in 2040, according to HealthCostCrisis.org, a new, interactive website and crisis clock that tracks and forecasts healthcare spending in America in real time. The site, developed by West Health, a family of nonprofit and nonpartisan organizations includes tools to gauge the impact of the escalating cost of healthcare on patients and
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AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model
The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical documentation improvement (CDI) training programs. The goal of the collaboration is to help professionals in skilled nursing facilities (SNF) prepare for the upcoming payment reimbursement change.New, Value-based Patient Driven Payment Model (PDPM) Beginning October 1, 2019, the Centers for Medicare and Medicaid
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Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors
Blue Cross and Blue Shield of North Carolina and Duke University Health System have together formed Experience Health, a new health insurance company to offer a Medicare Advantage Plan in 2020. Jointly owned by Blue Cross NC and Duke Health, Experience Health brings together two of the most trusted and innovative names in healthcare to create a locally owned and operated non-profit health plan.Why Experience Health?Blue Cross NC and Duke Health formed Experience Health to take advantage of the
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AMA, UnitedHealthcare Develop ICD-10 Codes to Support Social Determinants of Health
UnitedHealthcare and the American Medical Association (AMA) are teaming up to support using data for social determinants of health (SDOH) to improve and simplify how referrals are made to social services. The collaboration builds off work initiated by UnitedHealthcare to standardize how data is collected, processed and integrated regarding critical social and environmental factors that contribute to patient well-being.
New ICD-10 related to Social Determinants of Health (SDOH)
Today, nearly 80%
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GlobalHealth to Launch Medicare Advantage (MA) Marketplace with Evolent Health
GlobalHealth, an Oklahoma-based health maintenance organization, today announced it has entered into a definitive agreement to create a partnership in the Medicare Advantage (MA) plan marketplace with Evolent Health, a company providing an integrated value-based care platform to the nation's leading providers and payers. Together, both companies will launch and scale MA health plans under the True Health brand in targeted geographies. True Health Medicare Advantage (MA) Marketplace DetailsThe
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Allscripts Expands Relationship with Ephraim McDowell Health to Drive Patient Engagement
Allscripts FollowMyHealth announced a partnership with Ephraim McDowell Health on its enterprise and mobile patient engagement platform. FollowMyHealth offers a mobile, enterprise patient/consumer engagement platform for providers, hospitals and health systems who want to promote healthy patient populations and manage quality. Platform Approach BenefitsFollowMyHealth’s total connected patients hit over 17 million during 2018 with portal alone. With their expanded HealthGrid platform, that number
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Current State of Value-based Care in Oncology: 13 Key Trends to Know
New data on the state of value-based care in oncology has found that while community oncologists are optimistic about the beneficial potential of value-based care, they see a conflict between the need to decrease episode costs and the rising prices of the most innovative novel therapies. In an effort to dig deeper into current attitudes toward new value-based reimbursement models and novel therapies in cancer care, Integra Connect surveyed leaders and decision-makers in oncology practices.
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FHA and Caravan Health Partner to Sponsor Statewide Medicare ACO in Florida
Caravan Health and the Florida Hospital Association (FHA) have teamed up to sponsor a statewide accountable care organization (ACO) under which hospitals throughout the state will work together to provide coordinated, high-quality healthcare while delivering lower costs for patients.
Statewide ACO Model to Build Primary Care
Through the statewide ACO, hospitals in Florida can access Caravan Health's proven population health management model to build primary care capacity and
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