Partners HealthCare has transitioned to a Medicare Shared Savings Program (MSSP) through the Centers for Medicare and Medicaid Services (CMS), from its previous Medicare ACO, the Next Generation Accountable Care model, without disruption to patient care. The Medicare Shared Savings Program (MSSP) is an alternative payment model that promotes accountability for a patient population, coordinates items and services for Medicare fee-for-service beneficiaries, and encourages investment in high
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Signify Health, Remedy Partners Merge to Create Market Leading Value-Based Care Enablement
Signify Health and Remedy Partners have signed a definitive agreement to merge to create a market-leading platform delivering value-based care enablement. Together, Signify Health and Remedy Partners both portfolio companies of New Mountain Capital LLC will leverage clinical, behavioral and social data amidst an accelerating market shift from fee-for-service toward value-based payments and arrangements based on the quality and total cost of care for a patient.Merger Creates Combined Revenue of
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SHIEC: HIEs Provide Critical Infrastructure to Support Nationwide Interoperability
America’s health information exchanges (HIEs) provide critical infrastructure to support interoperability serving 92% of Americans, delivering more than one billion clinical alerts annually, according to a recent Strategic Health Information Exchange Collaborative survey.These are real-time notifications of hospital admissions, discharges or transfers (ADTs) delivered to doctors, hospitals and other organizations tasked with coordinating the care and services of high-needs patients. These alerts
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Maine Health, Anthem Form Joint Venture to Offer Medicare Advantage Plans
Anthem Blue Cross and Blue Shield in Maine and MaineHealth today announced the two organizations will be collaborating on a joint venture to offer Medicare Advantage health insurance plans for 2020 under the Anthem | MaineHealth brand. This joint venture effort, named AMH Health, LLC, will bring together the core strengths of the region’s leading health care system and health insurer, their brand recognition, as well as their expertise in providing a comprehensive approach to care that will
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Patient Communications: Blending Digital Tools With The Human Touch
Today’s patients have high expectations when seeking information and services about healthcare. As generations Y and Z mature and become responsible for their own healthcare, the industry needs to adapt and evolve their communications strategies in order to connect with customers in a format they prefer. This is also important for the wellness of your business.
But the challenge for healthcare provider organizations looking to retain current patients and attract new ones is in striking
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Medicare Advantage Plans Struggle With Internal Challenges to Keep Pace With Growth
Many Medicare Advantage health plans (35%) struggle with internal challenges in keeping pace with growth, including technology and infrastructure limitations, according to results of its latest Voice of the Market Survey. In addition, 33.8% struggle with a lack of IT staff or resources to make necessary changes and 29.4% lack the in-house Medicare experts necessary to implement adjustments in response to business fluctuation.The survey was commissioned by HealthEdge and conducted by Survata, an
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D2 Consulting Acquires Patient Engagement Company WorkUp
Life sciences consulting firm D2 Consulting, today announced it has acquired Brooklyn, NY-based patient engagement company WorkUp, Inc. The acquisition expands D2’s existing technology solutions, providing value-added support for clients, including manufacturers, specialty pharmacies, HUBs, payers, pharmacy benefit managers and integrated delivery networks.Founded in 2013 to support high maintenance patients, WorkUp’s patient engagement solution, Status improves operational efficiencies and
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3 Ways On-Demand Care Can Improve the Patient Experience
In the increasingly competitive healthcare space, establishing loyalty and improving the patient experience has become a priority for providers. In no area is this truer than the highly competitive, consumer-driven on-demand care space. In fact, a recent survey revealed that patients are five times more likely to select a practice because they’ve had a positive experience there rather than traditional marketing tools, highlighting a key driver of patient loyalty.
Patients are increasingly
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ACO Investment Model Reduced CMS Expenditures by $48M
The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care
A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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