The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a curated value-based care approach. Here are the fundamentals you need to know and five strategic steps to
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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant
Rural America Loses Independent Physicians and Practices at Alarming Rate, Report Finds
What You Should Know:
- A new report commissioned by the Physicians Advocacy Institute (PAI) and conducted by Avalere reveals a significant decline in the number of independent physicians and medical practices in rural areas of the United States between January 2019 and January 2024.
- The report raises concerns about reduced access to care, rising costs, and a decline in care quality for rural communities.
Report Background/Methodology
The analysis used data from the
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Modivcare & Aetna Deploy Higi Stations in Illinois Communities
What You Should Know:
- Illinoisans now have easy access to user friendly enhanced health stations through a collaboration between Modivcare Inc. (the “Company” or “Modivcare”) (Nasdaq: MODV), a healthcare services company integrating technology into personalized care experiences, focused on improving health outcomes, and Aetna Better Health® of Illinois, a CVS Health® company.
- The Modivcare Higi Stations offer self-service health information and digital navigation, as well as
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State of Ohio Taps Bamboo Health to Reduce Fatal Drug Overdoses
What You Should Know:
- In a proactive effort to combat the ongoing opioid epidemic and reduce drug overdose fatalities, Bamboo Health™, a leader in Real-Time Care Intelligence™, is partnering with the State of Ohio to strengthen its prescription drug monitoring system, the Ohio Automated Rx Reporting System (OARRS).
- The strategic collaboration will introduce a critical new feature, OD Insights™, designed to alert healthcare providers within their existing workflows if a
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Quantum Health Launches New GLP-1 Solution for Employers
What You Should Know:
- Quantum Health, a provider of healthcare navigation and care coordination, has announced the expansion of its Premier Pharmacy platform to offer self-insured employers a new GLP-1 weight management solution.
- The GLP-1 offering, powered by Vida Health, aims to optimize prescribing patterns, improve clinical outcomes, and provide comprehensive member support for weight loss.
Growing Demand for GLP-1 Medications
The need for effective weight
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FarmboxRx Launches Drivers Health Platform to Tackle Social Determinants of Health
What You Should Know:
- FarmboxRx, a pioneer in utilizing fresh produce as a covered health intervention, has unveiled Drivers Health (DH), a comprehensive social needs solutions platform.
- The platform is designed to address the multifaceted social needs of healthcare members, providing a tailored, omnichannel experience that enhances benefit engagement and overall well-being.
Drivers Health Empowers Members Across Vulnerable Populations
Drivers Health emerges as a critical
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5 Million Adults Could Lose Medicaid Under Work Requirements in 2026
What You Should Know:
- Proposed work requirements for Medicaid could lead to millions of Americans losing their health insurance, according to a new analysis by the Urban Institute with support from the Robert Wood Johnson Foundation.
- The analysis projects that 4.6 to 5.2 million adults living in states that expanded Medicaid could lose their coverage in 2026 if work requirements are enacted.
Key Findings
Researchers caution that if work requirements were applied to
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5 Years After The Chaos of COVID-19 Comes A New Era of AI Innovation
Five years ago this week, the COVID-19 pandemic threw our world into chaos. But that chaos also sparked an opportunity and a drive to accelerate innovation, through leveraging artificial intelligence with clinical knowledge in unprecedented ways. The results of these Covid-driven efforts have led to a fuller understanding of our community’s health, enabling the initiation of care further upstream and enhancing management of resources and costs in ways benefiting both patients and providers.
I
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Zing Health & Strive Health Expand Access to Value-Based Kidney Care
What You Should Know:
- Strive Health, a national leader in value-based kidney care, and Zing Health, a leading Medicare Advantage insurer, have announced the expansion of their existing partnership to deliver specialized kidney care to all eligible members across Zing’s geographical footprint.
- Strive will now support Zing members in Ohio, Tennessee and Mississippi and continue coverage in Illinois, Indiana and Michigan. Through this expanded partnership, Strive is
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Deerhold & HSBlox Combine Price Transparency & VBC Platforms for Enhanced Healthcare
What You Should Know:
- HSBlox, a leading technology platform for value-based care (VBC) contract management and administration that operationalizes complex contracts, enables transparency, and simplifies communication between stakeholders, and Deerhold, a company offering advanced healthcare data management and solutions to support healthcare price transparency and compliance, today announced a partnership to combine their respective best-in-class capabilities to equip health plans,
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