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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

M&A: Aledade Acquires Michigan’s Medical Advantage

by Jasmine Pennic 05/01/2024 Leave a Comment

M&A: Aledade Acquires Michigan's Medical Advantage

What You Should Know:  - Aledade, the nation's leading network of independent primary care practices, announced today the acquisition of Michigan-based Medical Advantage.  - This strategic acquisition further solidifies Aledade's position as the preeminent Accountable Care Organization (ACO) network and a driving force in value-based care. Expanding Physician Partnerships in Michigan The acquisition significantly expands Aledade's network in Michigan, bringing the number of
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inVio Health Network and CVS Accountable Care Partner to Improve Medicare Patient Care in South Carolina

by Jasmine Pennic 04/16/2024 Leave a Comment

inVio Health Network and CVS Accountable Care Partner to Improve Medicare Patient Care in South Carolina

What You Should Know:  - inVio Health Network and CVS Accountable Care Organization, a division of CVS Health, have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. This initiative focuses on improving access to high-quality healthcare for traditional Medicare beneficiaries in South Carolina. - The collaboration builds upon the past achievements of Prisma Health Upstate and Prisma Health Midlands Networks, which merged in
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3 Lessons in Digital Patient Engagement from Healthcare’s ‘Most Wired’ Organizations

by Joshua Titus, CEO at Gozio Health 02/09/2024 Leave a Comment

3 Lessons in Digital Patient Engagement from Healthcare’s ‘Most Wired’ Organizations

Digital patient engagement is a balancing act of determining where resources should be deployed and how to create cheer-worthy experiences.  The stakes for delivering the right mobile experience in healthcare have never been higher. A recent Accenture survey found digital engagement has a significant influence on patient retention. This raises pressure for health systems to design digital tools and experiences that strengthen patient loyalty and protect or increase revenue. Meanwhile,
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Demystifying VBC Contracting: Key Considerations for Quality & Data Success

by Elissa Toder, MBA, VP of Quality Improvement Strategy & Solutions at Reveleer 02/08/2024 Leave a Comment

Demystifying VBC Contracting: Key Considerations for Quality & Data Success

In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. In my past role as the VP of Quality at a large health plan, I was part of the team that reviewed provider contracts that included risk around quality. Adding my role to the review process reduced the frustration of the Network and Quality teams because I could identify the reporting requirements that the health plan couldn't meet and create alignment with measure
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Medical Home Network Expands Value-Based Care Reach with 64 FQHCs in New ACOs

by Jasmine Pennic 02/06/2024 Leave a Comment

Medical Home Network Expands Value-Based Care Reach with 64 FQHCs in New ACOs

What You Should Know: - Medical Home Network (MHN), a leader in transforming care in the safety net, announced today its partnership with 64 federally qualified health centers (FQHCs) across seven states. These FQHCs will participate in two key CMS value-based care programs: ACO REACH and MSSP (Medicare Shared Savings Program). - This expansion comes on the heels of an impressive achievement by existing MHN partners: $10.1M in gross savings and a perfect quality score in the 2022
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Elevating Healthcare Through Risk Stratification: Lessons from North Carolina’s Value-Based Initiatives

by Kevin Riley, CEO and President & Sheena Ming, Clinical Success Consultant at Zyter|TruCare 02/01/2024 Leave a Comment

Elevating Healthcare Through Risk Stratification: Lessons from North Carolina's Value-Based Initiatives

As the healthcare landscape continues to evolve, there's a clear trend towards value-based care (VBC). This significant shift, which places a premium on patient health outcomes, diverges from the traditional fee-for-service approach. The aftermath of the COVID-19 pandemic has mainly catalyzed the adoption of VBC models, highlighting the importance of care quality and effectiveness rather than the sheer volume of services. This change reshapes healthcare, aligning it more closely with patient
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Ohio State & CVS Form ACO to Elevate Medicare Care in Central Ohio

by Syed Hamza Sohail 01/25/2024 Leave a Comment

Ohio State & CVS Form ACO to Elevate Medicare Care in Central Ohio

What You Should Know: The Ohio State University Wexner Medical Center and CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.This coordinated approach to delivering care is centered around each patient’s unique needs and emphasizes preventive wellness and proactive treatment of chronic conditions. CVS ACO and
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FQHCs Shine in Value-Based Care: MHN Partners Achieve $10M Savings and Perfect Quality Score

by Fred Pennic 12/22/2023 Leave a Comment

What You Should Know: - Medical Home Network (MHN), a leading care enablement partner for FQHCs, announced that its partners participating in the NeueHealth Premier ACO achieved $10.1 million in gross savings and a perfect 100% quality score in the 2022 performance year. - This accomplishment, under the ACO Realizing Equity, Access, and Community Health (REACH) Model, involved 20 FQHCs across Ohio, Missouri, and Illinois serving approximately 10,000 Medicare beneficiaries. The success
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Patients Crave Conversational Texting, Frustrated by Simplistic Healthcare Communication

by Jasmine Pennic 12/19/2023 Leave a Comment

What You Should Know: - A new survey by Artera, a leader in patient communication technology, reveals a stark disconnect between how healthcare providers communicate and what patients actually want. - The findings, based on responses from over 2,000 patients, paint a picture of frustration and missed opportunities, with simple phone calls and one-dimensional text messages falling short of patient expectations. Communication Breakdown - Nearly half (45%) of patients have missed or forgotten a bill due to communication difficulties with their provider's office. - 43% report negative health impacts from communication challenges, including issues scheduling appointments or sharing crucial information. - A staggering 79% of patients want providers to offer text-based conversation on any topic, highlighting a desire for more convenient and accessible communication. Texting: A Double-Edged Sword - While 77% find automated text exchanges valuable, simplistic "yes/no" interactions dominate, frustrating 69% of patients who long for deeper conversations. - Two-thirds report incomplete text experiences, with 31% failing to achieve their goals at least half the time, often resorting to phone calls. - Technical glitches and unanswered messages further exacerbate the problem, with 62% experiencing error messages, invalid responses, or radio silence from providers "half the time" or more. Financial and Human Costs - Providers failing to meet communication expectations face financial consequences, as 59% of patients are willing to switch doctors due to poor communication. - Artera's research sheds light on the impact on healthcare workers as well, with a December 2022 report finding outdated communication strategies contributing to staff burnout. Guillaume de Zwirek, CEO and Founder of Artera, emphasizes the importance of patient-centric communication: "As a $4 trillion market, healthcare should offer unmatched customer experience. If patients can't communicate seamlessly, they won't engage, leading to a sicker population and more expensive care long term."

What You Should Know: - A new survey by Artera, a leader in patient communication technology, reveals a stark disconnect between how healthcare providers communicate and what patients actually want. - The findings, based on responses from over 2,000 patients, paint a picture of frustration and missed opportunities, with simple phone calls and one-dimensional text messages falling short of patient expectations. Communication Breakdown - Nearly half (45%) of patients have missed or
Read More

What Patients Want: Zocdoc’s Report Reveals Patient Preferences

by Fred Pennic 12/14/2023 Leave a Comment

What Patients Want: Zocdoc's Report Reveals Patient Preferences

What You Should Know: - Zocdoc, the healthcare marketplace, has released its inaugural What Patients Want Report, offering valuable insights into what patients seek from their healthcare experience and providers. - Based on millions of bookings and patient interactions, the report paints a picture of how patients are navigating the healthcare landscape today, and what they expect from their providers and the industry at large. Key findings of the report include: Women driving
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