Medicare Advantage plans need more than consumer-centric design, payer/provider alignment, and strong connections across the continuum of care to drive value. The high-value performance also depends on their ability to use data to make a meaningful difference in members’ health.
With 11,000 people aging into Medicare daily, proficiency in managing Medicare Advantage populations is critical for demonstrating value in a competitive market. Enrollment in these plans is growing significantly,
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs
What You Should Know:
- Aledade raises $64M in Series C funding led by OMERS Growth Equity to expand its national network of more than 500 physician-driven accountable care organizations (ACOs) across 27 states.
- To date, Aledade’s ACOs care for more than 840,000 patients and manage more than $7.5 billion in health care spending through 38 Medicare and 42 other value-based contracts.
Today, Aledade announced
it has closed a $64 million Series C funding round following the
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The Hard Truth About Boosting Patient Acquisition
Technology giants and other non-traditional players are moving into the healthcare market, giving consumers a host of new options for how and where they obtain services. Everyone from Apple and Amazon to G.E. and Berkshire Hathaway are disrupting the market by introducing new delivery models that emphasize simplicity, transparency and positive digital experiences.
Traditional players will need to recalibrate how they build market share due to this new consumerism threat. In fact, a
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HealthLynked Acquires Cura Health & ACO Health Partners
- HealthLynked acquires Cura Health Management and its wholly-owned subsidiary ACO Health Partners LLC for $1.75M. - The acquisition is expected to contribute approximately $2.25M of revenue and $500k in EBITDA in year one, increasing HealthLynked's consolidated revenues by 47% and reducing the company's current annual cash burn by over 50%.HealthLynked Corp, a nationwide healthcare network focused on care management of its members and a provider of healthcare technologies that connect doctors,
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CareMount, Nuvance Partner to Expand Population Health Services in NY
- CareMount, New York's top Next-Gen accountable care organization, is partnering with Nuvance Health -- a system of seven hospitals that serve CT and NY -- to better share information for the purpose of providing improved population health services for both organizations.
- CareMount Health Solutions, a physician-owned management services organization, will deliver to Nuvance Health, a suite of population health management services including care coordination and clinical programs, data
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PatientPing’s Network of Next Generation ACO Partners Generates Over $150M in Savings
PatientPing’s national network of Next Generation Accountable Care Organizations (ACO) partners generated over $150 million in savings under the CMS Next Generation ACO for the year 2018. PatientPing's national network includes thousands of providers across hospitals, health systems, health plans, post-acute, and other entities, all of which are working together to collaborate with one another on their shared patients.PatientPing, a Boston, MA-based care collaboration platform announced that its
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CareMount Health Solutions ACO Generates $779k in Shared Savings
- CareMount Medical’s next-generation ACOs have saved more than $778,582 in shared savings in 2018. CareMount ACO was one of 38 Next Generation ACOs nationally to achieve earned savings for 2018 Performance Year.- In 2019, CMS awarded CareMount Health Solutions ACO, LLC a perfect score of 61 out of 61 points on its Initial Readiness Review (IRR). CMS conducts IRRs for all ACOs entering the Next Generation ACO Model.Chappaqua, NY-based CareMount Medical announces its next-generation ACOs have
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Trinity Health ACO Delivers $22.4M in Share Shavings, 98% Quality Performance Score
- Trinity Health ACO achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in the performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.- Trinity Health ACO provides coordinated care to patients in Illinois (Loyola Medicine), Michigan (Mercy Health – Michigan), New Jersey (Summit Medical Group) and Ohio (Mount Carmel Health System).Trinity Health ACO, a Next
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Humana, Epione Health Form Value-Based Care Agreement for Humana Medicare Advantage Members
- Humana and Epione Health team up to offer a patient-centered experience for Humana Medicare Advantage members in Oklahoma. - Humana Medicare Advantage HMO and PPO plan patients will benefit from this relationship as the support offered by Humana enables Epione’s doctors to focus on patient care.Humana Inc., today announced it has collaborated with Epione Health of Oklahoma, LLC on a value-based care agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare
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4 Common Misconceptions About Health Savings Accounts (HSAs)
- Alegeus report uses participant data to debunk four common misconceptions about health savings accounts (HSAs) that consumers have about HSAs.
Alegeus, a provider of consumer-directed healthcare (CDH) solutions unveiled part two of its research series on health savings account (HSA) participants, the 2019 Alegeus HSA Participant Profile. For the report, Alegeus conducted a survey of more than 1,400 U.S. healthcare consumers in order to:
• Measure the general understanding of HSAs among
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