What You Should Know
Papa announced the expansion of its multi-year partnership with eternalHealth, a women-owned Medicare Advantage plan operating in Massachusetts and Arizona.The expanded agreement integrates Papa Plus pathways into eternalHealth’s companion care benefit, specifically targeting HEDIS and Health Outcomes Survey (HOS) performance to lift CMS Star Ratings.The collaboration introduces three structured, outcomes-driven in-home pathways:Post-Discharge Support: Focuses on the
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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant
Accompany Health Report: Transforming Dual-Eligible Outcomes, Star Ratings, and MLR at Scale
What You Should Know
New data from Accompany Health rejects industry norms that count passive phone calls or consent checkboxes as engagement (which typically yields only 20–30% reach), setting a standard defined by a completed in-home visit conducted jointly by an Advanced Practice Clinician (APC) and a dedicated Health Advocate.Accompany Health achieves a 55% engagement rate among attributed dual-eligible and complex Medicare Advantage members, with 99% of engaged patients in 2024 remaining
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The Rise of Silent Burnout in Senior Care Leadership
Every senior care organization is talking about caregiver burnout. Far fewer are asking a more uncomfortable question: what happens when the people leading the organization become exhausted too?
Executive burnout rarely announces itself through dramatic collapse. Leaders still show up, make choices, participate in meetings, and resolve issues. Operations seem stable from the outside. However, persistent weariness subtly alters leaders' perspectives behind that stability. Constant crisis
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Aligned Marketplace Raises $20M to Scale Independent Primary Care
What You Should Know
Healthcare marketplace Aligned Marketplace secured $20M in Series A funding led by healthcare venture firm Venrock.The platform directly connects self-insured employers and Third-Party Administrators (TPAs) to a national network of independent advanced primary care (APC) and direct primary care (DPC) practices across all 50 states (comprising 3,000+ clinics).Actuarial data from a 2025 Fortune 500 employer program demonstrated a 12% reduction in total cost of care for
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Cityblock Health Expands Humana Partnership to Serve 20,000 North Carolina Medicare Advantage Members
What You Should Know
Cityblock Health announced a major expansion in North Carolina to deliver its 24/7 wrap-around care model to nearly 20,000 Humana Medicare Advantage and dual-eligible beneficiaries across 50 counties.Effective July 1, 2026, the partnership supports complex, hard-to-reach populations, including Dual Eligible Special Needs Plan (D-SNP) members, partial dual-eligibles, and Low-Income Subsidy (LIS) recipients.Cityblock's model provides 24/7 in-person and virtual care
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Function Partners with NYU Grossman School of Medicine for Longitudinal AI Disease Detection
What You Should Know
Function announced a research collaboration with NYU Grossman School of Medicine (part of NYU Langone Health) focused on developing next-generation AI models for early, preventive disease detection.The initiative pairs NYU Grossman's deep, longitudinal clinical and treatment dataset with Function's broad, multimodal health monitoring pipeline—ingesting routine biomarker labs and advanced imaging scans before and after disease onset.Initial clinical focus areas target
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Blue Shield of California and Cedars-Sinai Secure 4-Year Network Deal
What You Should Know
Blue Shield of California and Cedars-Sinai Health System reached a new four-year long-term agreement, ensuring uninterrupted in-network access for Commercial HMO and PPO members across Southern California.The renewed contract covers major hospital facilities—including Cedars-Sinai Medical Center, Cedars-Sinai Marina Del Rey Hospital, Torrance Memorial Medical Center, and Huntington Hospital—alongside ambulatory surgery centers, ancillary providers, and associated
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CHG Healthcare 2026 APP Workforce Report: 92% of Leaders Rate APPs as Essential Strategy
What You Should Know
According to a new report from CHG Healthcare, advanced practice providers (APPs)—including NPs, PAs, and CRNAs—have shifted from temporary coverage to foundational infrastructure, with 92% of surveyed healthcare facility leaders rating APPs as "very" or "extremely" important to workforce strategy.The report, Advanced Practice Provider Workforce Trends Report, reveals that nearly all healthcare facilities (97%) plan to maintain or increase APP utilization in 2026,
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RWJF Report Analyzes Hospital Financial and Workforce Strains Under OBBBA
What You Should Know
A joint report by the Urban Institute and Robert Wood Johnson Foundation analyzes five major federal policy shifts threatening hospital financial stability and operational sustainability.Medicaid work requirements and semi-annual redeterminations under the One Big Beautiful Bill Act (OBBBA), combined with ACA Marketplace subsidy expirations, are projected to cause millions to lose health coverage.State-Directed Payment caps and provider tax reductions under OBBBA will cut
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M&A: Included Health to Acquire Clinically-Integrated Health Plan Firefly Health
What You Should Know
All-in-one healthcare delivery firm Included Health has signed a definitive agreement to acquire clinically integrated health plan and advanced primary care provider Firefly Health, with closure targeted for Q3 2026.The combined entity pairs Included Health’s AI-native navigation platform with Firefly’s NCQA-accredited advanced primary care model, dynamic benefit design, and a nationwide network of 2,300+ in-person, in-home, and specialty partners.Across its full
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