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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant

Emtiro Health Taps Innovaccer to Build a Population Health Analytics Platform for NC Managed Medicaid Care Launch

by Jasmine Pennic 06/24/2021 Leave a Comment

Emtiro Health Taps Innovaccer to Leverage the FHIR-enabled Data Activation Platform

What You Should Know: - Emtiro Health, LLC, a North Carolina-based population health company, announced its partnership with leading healthcare technology company, Innovaccer Inc. to prepare for the North Carolina Managed Medicaid Care launch and deliver the best care to the Medicaid population. - Together, they have developed a platform to support North Carolina’s transition to Managed Care, specifically Advanced Medical Homes (AMH) and providers that participate in value-based payment
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Priority Health Launches “Full Lifecycle” Social Determinants of Health Initiative

by Fred Pennic 06/23/2021 Leave a Comment

Priority Health Launches “Full Lifecycle” Social Determinants of Health Initiative

What You Should Know: - Priority Health, a nationally recognized nonprofit health plan, announced today that it has launched a first-of-its-kind “full lifecycle” social determinants of health (SDoH) initiative. - Recent research has shown that SDoH, or social factors like access to healthy food, transportation options and financial security, may be responsible for up to 80% of health outcomes.Priority Health’s first-of-its-kind program
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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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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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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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Aunt Bertha Secures $27M to Expand Referral Platform for Social Services

by Fred Pennic 06/02/2021 Leave a Comment

Aunt Bertha Secures $27M to Expand Referral Platform for Social Services

What You Should Know: Today, Aunt Bertha, the nation’s leader in closed-loop social care networks and the company behind findhelp.org, announced it has raised an additional $27M in investment funding led by Warburg Pincus, had significant participation from existing investors including Pershing Square Foundation, Techstars Ventures, Noro-Moseley Partners, Digitalis Ventures and The Social Entrepreneurs’ Fund (TSEF). - The financing will enable Aunt Bertha to enhance its
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Making Telehealth Accessible to Underserved Communities Requires a Multifaceted Approach

by Amy Fan, Co-Founder of Twentyeight Health 05/28/2021 Leave a Comment

Making Telehealth Accessible to Underserved Communities Requires a Multifaceted Approach

Over the last year, people across the U.S. have adopted telehealth in record numbers, signaling what people in the industry have long believed — virtual doctor visits and prescription delivery has the potential to truly increase access to high-quality, convenient care.  The meteoric rise of telehealth has also come with its challenges, one of the biggest being equity. A recent study published in the American Journal of Preventive Medicine details that the people who use telehealth in the
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Humana Taps NowPow to Address Social Needs for Medicare & Medicaid Members in Chicago

by Jasmine Pennic 05/18/2021 Leave a Comment

Humana Taps NowPow to Address Social Needs Medicare & Medicaid Members in Chicago

What You Should Know: - Humana Inc., today announced it is partnering with NowPow to improve the health of communities across Chicago by identifying and addressing root causes of poor health. - As part of the partnership, Humana will leverage NowPow’s personalized community referral platform to help extend the digital infrastructure for its population health strategy supporting Humana Medicaid and Medicare members in Chicago. This effort aims to improve members’ health by meeting needs
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