What You Should Know: - LRVHealth, the inside healthcare venture capital platform, announced that Josh Flum joined the firm as a managing partner. Prior to joining LRV Health, Flum served as Chief Strategy Officer and Business Developer Officer at CVS Health. - Flum joins a diverse team of healthcare operators, entrepreneurs, investors and insiders leading healthcare innovation and transformation alongside a network of strategic limited partners that touches half of all
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Aetna & Crossover Health Launches Primary Care Health Plan Benefit
What You Should Know: - Crossover Health and Aetna have partnered to bring new primary care options to Seattle area employers and their employees. The innovative partnership, called Aetna Advanced Primary Health available starting January 1, 2023 marks the first time a value-based, hybrid care model like this has been offered to employers through a commercial health insurance plan. Aetna Advanced Primary Health Overview Aetna Advanced
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Forrester Unveils 5 Healthcare Predictions for 2023
What You Should Know: - A new dawn is on the horizon in healthcare. Equipped with new digital capabilities and pressured by new consumer expectations for personalized, convenient experiences, healthcare organizations face a predicament — act now and stay afloat, fail to act and get consumed by the competition, or risk financial ruin. - Market research leader Forrester’s latest report explores 5 key predictors for healthcare in 2023. Healthcare in the Era Post-Covid COVID-19
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Resilience Lab Joins Aetna In-Network for Mental Health
What You Should Know: - Resilience Lab, a mental health provider enabling communities of clinicians to improve outcomes and access announced that it has joined Aetna as an in-network mental healthcare provider. - Resilience now has in-network partnerships with three of the nation’s largest health insurance carriers, including Aetnea, United Healthcare and Humana, allowing them to serve more than 50 million Americans across five northeast states. - This expansion is a key part of
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Moving The Focus of Healthcare to Building Healthy Habits That Last
Without addressing root causes through sustained behavior modification, all results are temporary The most effective approach to preventing and treating chronic disease today focuses on the creation of healthy habits that fundamentally change behavior in a sustainable way. Smart solutions involve personalized programs based on genetic testing, nutrition, exercise, mental well-being and 1:1 personal health coaching. This combination has achieved remarkable success in both warding off chronic
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Health IT for Emerging “Payviders”
Though doubts about the benefits of the “payvider” model certainly exist, the success of recent payer-provider partnerships showcases the potential of these programs to improve the patient and provider experience. A study of Aetna’s integrated program, for example, found that plan members could realize significant savings for high-cost chronic conditions and experience fewer hospital admissions. A similar report from Cigna echoed these conclusions, finding that integrated benefit plans resulted
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Aetna Taps Emcara Health to Deliver Home-Based Primary Care to 240k Medicaid Patients
What You Should Know: - Emcara Health and Aetna Better Health, which announced that the two companies will be partnering to deliver primary care in the home to more than 240,000 Medicaid patients in the Miami/Dade and Tampa, Florida regions. - The relationship extends Emcara Heath’s comprehensive primary care model – which includes behavioral health and social determinants of health assessments – to adult Aetna Medicaid members. Partnership
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Why Health Systems Need a New Transition Strategy to APMs
There is an adage that change in healthcare moves at the speed of tectonic plates. The slow adoption of Alternative Payment Models (APMs), the central feature of value-based care, is a good example of constraint despite immense pressure to control costs. Data from 2020 demonstrate almost zero change from 2018 in the proportion of straight Fee-for-Service (FFS) reimbursement. Other results show a slight uptick in APMs with or without downside risk at 34.6 percent. However,
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CVS Health in Talks to Acquire Signify Health
What You Should Know: - Signify Health is exploring strategic alternatives including a sale, according to a Wall Street Journal report. Initial bids are due this coming week. Additional companies are also in acquisition discussions with Signfiy Health, and CVS could face competition from other managed-care providers and private-equity firms. - The potential Signify acquisition has a market value of around $4.7 B after its shares rose on the news of a potential sale. Leveraging
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Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable
Driven by headlines and incomplete, misleading data that favor a telehealth narrative, health systems and healthcare investors must start asking "who" is actually supporting waning demand. The healthcare industry is no stranger to the 80/20 rule. The principle says 80% of an effect is driven by 20% of a cause, and in healthcare, it usually refers to there being a specific cohort of the population (e.g., the chronically ill) driving the majority of care utilization and costs. More recently,
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