What You Should Know: - Today, XSOLIS, the AI technology company creating a more efficient healthcare system, announced a new partnership with Florida-based Halifax Health to achieve greater efficiencies between its utilization management and physician advisor teams across its three hospitals. - XSOLIS’ CORTEX® platform will help Halifax solve administrative challenges and mitigate revenue risk associated with misaligned care level status. CORTEX’s advanced case management analytics
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Case Management
Brave Health Raises $40M for Medicaid Virtual Health Platform
What You Should Know: - Brave Health, a virtual mental health provider and engagement platform focused on serving Medicaid populations raises $40M in Series C funding round led by Town Hall Ventures, with existing investors Union Square Ventures, City Light Capital and others joining as well. The company has raised a total of $60M to date, and this most recent funding will support their continued expansion into value-based care arrangements and into new and existing markets. - Brave
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Brave Health & MedArrive Partner to Power Virtual Mental Health
- Brave Health, a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. - Through this collaboration, if MedArrive identifies an eligible health plan member in need of mental health support, MedArrive’s field providers can immediately refer that member to Brave Health’s behavioral health providers in real time and schedule care within 72 hours. Conversely, if Brave Health identifies an
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Innovaccer Expands into Public Sector to Accelerate Public Health Transformation
What You Should Know: - Health cloud company Innovaccer Inc, today announced it is expanding into the public sector to improve collaboration between agencies, optimize case management, manage increasingly complex alternative payment models, and improve the individual’s experience through technology. - The Innovaccer Health Cloud’s Data Activation Platform (DAP) collects, cleans, and connects data, making it available and shareable between systems to accelerate digital
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Anthem Partners With Happify Health to Enhance Maternal Health
What You Should Know: - Anthem, Inc. today announced a collaboration between Happify Health to bridge the gap between the unique physical and mental health concerns women face. - The collaboration will add to its ongoing support of the whole health of women with the addition of a new a digital-first solution in select markets. Enhance Maternal Health with New Digital-First Solution It is part of Anthem’s early and consistent support of women throughout the entirety of their maternal
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Why Health Plans Must Have Next-Gen CAPS Technology for Digital Transformation
Core Administrative Processing Systems (CAPS) operate as the brains behind a health plan’s business. These systems are critical to the smooth functioning of a health plan. Today, many payers run on decades-old CAPS systems built on legacy technologies. This can be a serious drawback. Legacy systems may have been efficient based on the technology and best practices of decades past, but have aged beyond their time. They often require an increasing number of workarounds and fixes to try to
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Next Generation of Risk Adjustment: Uniting Health Plans and Providers
Up until now, risk adjustment has been addressed as a mechanism to accurately represent the overall risk profile of a health plan’s membership. A function that will still facilitate a health plan’s payment for taking on at-risk populations is about to go through its first major transformation – the use of risk adjustment data to drive value-based program initiatives. Now that the functional aspects
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Time and Goals Should Drive Your Post-COVID-19 Care Management Strategy
COVID-19 forced many health systems to reassess and reconfigure their care management processes and staffing models so that clinicians could better manage more of their acute, complex, and otherwise healthy patients remotely to limit in-person care. During this time, health systems likely learned quite a bit about remote care management and discovered that they could still deliver high-quality care without their patients needing to visit their providers in-person as often. With two
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NeuroFlow Partners with Wounded Warrior Project for Remote Behavioral Health Support
What You Should Know: - During National Caregivers Month, Wounded Warrior Project and NeuroFlow are joining forces to raise awareness and access for mental health by providing access to new technology tools and care options - There are 53 million Americans who are unpaid caregivers to family, friends, neighbors and spouses. This shared burden is also widespread in the military community as many veterans and their caregivers battle silent burdens. NeuroFlow, the leader in
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How Care Coordination Technology Addresses Social Isolation in Seniors
Senior isolation is a health risk that affects at least a quarter of seniors over 65. It has become recognized over the past decade as a risk factor for poor aging outcomes including cognitive decline, depression, anxiety, Alzheimer’s disease, obesity, hypertension, heart disease, impaired immune function, and even death. Physical limitations, lack of transportation, and inadequate health literacy, among other social determinants of health (SDOH), further impair access to medical and mental
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