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

Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

by Fred Pennic 02/04/2021 Leave a Comment

Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

What You Should Know: - Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan.   - MMM is Puerto Rico’s largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States. - With more than 267,000 MA members and over 305,000
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Aledade Secures $100M for Value-Based Primary Care, Reaching $2.1B Valuation

by Jasmine Pennic 01/19/2021 Leave a Comment

Aledade ACO

What You Should Know: - Aledade raises $100 Million in Series D funding to help more primary care practices thrive in value-based care. - The new funding will power the growth of a nationwide network of more than one million patients by further expanding into Medicare Advantage Contracts. Aledade, a Bethesda, MD-based provider of value-based primary care, today announced it has closed a $100 million Series D funding round following a year of significant growth for its national
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Regence, MultiCare Health System to Deploy HL7 Da Vinci Member Attribution List for Value-Based Care Arrangements

by Jasmine Pennic 12/28/2020 Leave a Comment

What You Should Know: - Regence and MultiCare ink first-in-the-nation value-based care partnership to deliver improved health outcomes at lower costs. Health insurance provider Regence and MultiCare Health System, an independent accountable care organization (ACO) have partnered to deploy a first-in-the-nation value-based model that delivers better health outcomes to members at lower costs while simplifying administration for health care providers. Regence serves approximately 3.1
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White House Coronavrius Task Force Doubles Down on Rapid Testing Strategy

by Liz Essley Whyte, Reporter, Center for Public Integrity 11/16/2020 Leave a Comment

White House, IBM Partner to Fight COVID-19 Using Supercomputers

What You Should Know: - White house coronavirus task force doubles down on rapid testing strategy to fight the coronavirus as some states say they don’t have the supplies to comply with the federal government’s advice. - This article was originally published by the Center for Public Integrity, a nonprofit investigative news organization based in Washington, D.C. The White House coronavirus task force is doubling down on part of its strategy for halting the spread of the virus:
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WELL Health Integrates with Cerner’s Patient Portal to Simplify Patient Communication

by Jasmine Pennic 11/11/2020 Leave a Comment

WELL Health Integrates with Cerner’s Patient Portal to Simplify Patient Communication

What You Should Know: - Cerner is striking a deal with patient communication hub company WELL Health to change its patient communication technology for its provider customers. - Through Cerner’s HealtheLife, the new capabilities will pull from a myriad of systems and apps to help improve communication and reduce administrative time for clinicians and staff. Cerner Corporation, a global health care technology company, today announced new capabilities designed to take the interaction
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4 Ways to Combat Hidden Costs Associated with Delayed Patient Care During COVID-19

by Matt Dickson, VP of Product, Strategy, and General Manager, Stericycle Communication Solutions 11/06/2020 Leave a Comment

Matt Dickson, VP, Product, Strategy, and Communication Solutions at Stericycle

COVID-19 terms such as quarantine, flatten the curve, social distance, and personal protective equipment (PPE) have dominated headlines in recent months, but what hasn’t been discussed in length are the hidden costs of COVID-19 as it relates to patient adherence.   The coronavirus pandemic has amplified this long-standing issue in healthcare as patients are delaying routine preventative and ongoing care for ailments such as mental health and chronic disease. Emergency care is also
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Intermountain, Sanford Health Signs Intent to Merge

by Jasmine Pennic 10/26/2020 Leave a Comment

Intermountain, Sanford Health Signs Intent to Merge

What You Should Know: - Intermountain Healthcare and Sanford Health sign a letter of intent to merge that will created a combined health system employing more than 89k people at 70 hospitals and 435 clinics across seven states. Intermountain Healthcare and Sanford Health, one of the nation’s leading systems in rural health care delivery and clinical research, have signed a letter of intent to develop a strategic partnership. The boards of both not-for-profit organizations approved a
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CMS Direct Contracting Model Options for Value-Based Care

by Vanessa Kuhn, Director of Health Policy, PatientPing 10/26/2020 Leave a Comment

CMS Direct Contracting Model Options for Value-Based Care

The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries. The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

by Jasmine Pennic 10/08/2020 Leave a Comment

Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

What You Should Know: - Humana Inc. and Fresenius Medical Care North America (FMCNA) today announced an agreement to broaden their collaboration toward improving the health of eligible Humana Medicare Advantage members - The agreement between Humana and Fresenius Medical Care North America goes into effect Jan. 1, 2021. Humana Inc. and leading renal care company Fresenius Medical Care North America (FMCNA) announced an agreement to broaden their collaboration toward improving the
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Walmart to Offer Medicare Insurance Plans During 2020 Open Enrollment

by Fred Pennic 10/06/2020 Leave a Comment

Walmart to Offer Medicare Insurance Plans During 2020 Open Enrollment

What You Should Know: - Walmart announced it will begin selling Medicare insurance plans during this year’s annual enrollment period, Oct. 15 through Dec. 7. Today, Walmart announced the launch of Walmart Insurance Services, LLC, a licensed insurance brokerage, which will assist people with enrolling in insurance plans—and simplify what’s historically been a cumbersome, confusing process. Walmart Insurance Services will begin selling Medicare insurance plans during this year’s Annual
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