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Technology

Brightline Secures $72M to Expand Pediatric Behavioral Health Solution Nationally

by Fred Pennic 06/16/2021 Leave a Comment

Brightline Secures $72M to Expand Pediatric Behavioral Health Solution Nationally

What You Should Know: - Brightline, a virtual pediatric behavioral health solution announces, today announced it has raised $72M in Series B funding led by GV (formerly Google Ventures), with participation from new investors Optum Ventures, 7wireVentures, and Gaingels, the leading venture investment syndicate in support of diversity and representing the LGBTQ community and allies. Debra Lee, Chairman and CEO Emeritus, BET Networks, also contributed to the round as an independent
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MAP Health Management Acquires Behavioral Health Provider CARMAhealth – M&A

by Fred Pennic 06/16/2021 Leave a Comment

MAP Health Management Acquires Behavioral Health Provider CARMAhealth – M&A

What You Should Know: -  MAP Health Management, LLC., a provider of virtual peer support services announced the acquisition of CARMAhealth (CARMA), a primary care and behavioral health management service organization to expand its capabilities to virtual and in-person primary medical and behavioral healthcare. - The acquisition will enable MAP to leverage its peer-led support capabilities to facilitate an integrated continuum of medical services that include primary medicine,
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Elevate Health Taps Innovaccer to Redefine Its Care Management Model – PHM

by Jasmine Pennic 06/14/2021 Leave a Comment

Elevate Health Taps Innovaccer to Redefine Its Care Management Model - PHM

What You Should Know: - Elevate Health, a Washington-based nonprofit Accountable Community for Health (ACH) organization, has partnered with us to leverage the Innovaccer Health Cloud to strengthen care management and improve patient outcomes. It was challenged to integrate data from disparate sources and close gaps for hundreds of patient records. - With the Innovaccer Health Cloud, Elevate Health saved $6M in care costs and redefined its care management
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Innovaccer Unveils Health Plan Analytics Tool to Give a Comprehensive View of Over 700 Medicare Advantage Plans

by Fred Pennic 06/11/2021 Leave a Comment

Innovaccer Unveils Health Plan Analytics Tool to Give a Comprehensive View of Over 700 Medicare Advantage Plans

What You Should Know:  -Innovaccer Inc., a leading healthcare technology company, recently launched its Health Plan Analytics tool, which provides a comprehensive view of health plan performance across the country.  -With this tool, payers can identify the quality parameters where they lag and determine the performance threshold to attain satisfactory ratings and enrollment. In addition, the tool generates state-by-state market insights to develop strategies to increase
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Wolters Kluwer Launches Telemedicine Value Sets for Health Insurance Claims

by Fred Pennic 06/11/2021 Leave a Comment

Wolters Kluwer Launches Telemedicine Value Sets for Health Insurance Claims

What You Should Know: - Wolters KluwerHealth released telehealth-specific value sets for use in health insurance claims processing, coordination of care, and benefits systems. - The company developed the value sets to meet the needs of payers and providers that are working to develop and refine long-term virtual care strategies. The timing for the value sets is crucial as payers and providers alike
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Applying A Hedge Fund Mentality for Investing in Social Determinants of Health

by Matt Lambert, M.D., Chief Medical Officer – Curation Health 06/10/2021 Leave a Comment

Applying A Hedge Fund Mentality for Investing in Social Determinants of Health

While I am a practicing clinician, I am a firm believer that improvements in healthcare most often come from borrowing the best ideas from other business models. For example, I have sometimes borrowed from software company and payer colleague insights to describe value-based care (VBC) reimbursement as a subscription model. This model would provide more consistent revenue and allow organizations to better weather challenging times like a pandemic. For providers, this would allow freedom from the
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Oregon House Passes Telemedicine Reimbursement Bill to Promote Safe Access to Care

by Fred Pennic 06/09/2021 Leave a Comment

Behavioral Health Services Fueled Telehealth Adoption During Pandemic, Study Finds

What You Should Know: Today, the Oregon House passed the HB2508A bill of legislation requiring the Oregon Health Authority (OHA) to reimburse health services delivered via telemedicine if specified criteria are met including reimbursing a provider at the same rate for a health service delivered in person or through telemedicine. - The passing of HB 2508A expands coverage of and reimbursement for telemedicine services in Oregon, ultimately promoting equitable and safe access to
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4 Common Pitfalls of Remote Patient Monitoring to Avoid

by Susan Beaton, VP of Health Plan Strategy, Wellframe 06/09/2021 Leave a Comment

Avoiding The Common Pitfalls of Remote Patient Monitoring

COVID-19 created a colossal opportunity for health plans and providers to reimagine how they engage with patients. With patients apprehensive about going to the doctor during the pandemic, it became even more vital to keep track of their health in between visits. This is where remote patient monitoring (RPM) becomes critical to every payer and provider’s virtual health strategy. RPM uses digital technologies to collect data about symptoms, medications, treatment, and biometrics from individuals
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The Crucial Role of SDOH Data in Value-Based Care

by Rahul Sharma, CEO of HSBlox 06/08/2021 Leave a Comment

The Crucial Role of SDOH in Value-Based Care

Roughly $4 trillion is spent on healthcare annually in the U.S.  Despite this massive expenditure, roughly 80% of health outcomes are attributed to social, behavioral and environmental factors, known as social determinants of health (SDOH).   What has been far less clear is how providers and payers can fully harness SDOH data to proactively manage the health of patients and members. Technological and cultural barriers have made it difficult for disparate parties such as
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What Population Health Management Providers Need to Know About HITRUST CSF Certification

by Bob Dupuis, VP of Enterprise Architecture and Security at Arcadia 06/07/2021 Leave a Comment

What Population Health Management Providers/Organizations Need to Know About HITRUST CSF Certification

Healthcare companies continue to implement value-based care and population health management initiatives to coordinate healthcare delivery and improve the quality and value of patient care. These initiatives depend on the ability to access, aggregate, and analyze massive amounts of patient data, often coming from hundreds of source systems. Critical system interoperability and data-sharing agreements enable healthcare organizations to aggregate data and build massive data assets to support their
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Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

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KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

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Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

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