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Digital Senior Care Navigator Fair Square Medicare Raises $15M 

by Fred Pennic 08/26/2022 Leave a Comment

Digital Senior Care Navigator Fair Square Medicare Raises $15M

What You Should Know: - Digital senior care navigator Fair Square Medicare raises 15M in series A funding led by Define Ventures. The company, which is a YCombinator alum, has raised $19M to date. - With 10,000 people turning 65 every day, Fair Square Medicare helps seniors find the right Medicare coverage regardless of commission, and is building a full-service digital healthcare assistance platform for seniors. Care Navigator for Seniors Launched in 2020 out of YC, Fair Square
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Analysis: 2022 Semi-Annual Health IT Market Review

by Healthcare Growth Partners 07/29/2022 Leave a Comment

HGP Releases its July 2022 Semi-Annual Health IT Market Review

Executive Summary Act III of COVID: Navigating the Crosscurrents of Post-Inflation 2022 ushered in Act III of the market’s latest transitionary period: The Post-Inflation Era. Since 2008, the US economy functioned with remarkably low inflation and interest rates. As the cost of capital went lower and lower during the decade, valuations steadily rose. Between 2010 and 2020, the NASDAQ experienced a 17.1% annual growth rate, with no small share of the growth a result of expanding valuation
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Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

by Sanjula Jain, PhD., Chief Research Officer, Trilliant Health 07/25/2022 Leave a Comment

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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Can Health Plans Lead Us Towards Data-Driven Health Equity?

by Jessica Bonham-Werling, Payer and Provider Solutions Marketing at Redox 07/20/2022 Leave a Comment

Can Health Plans Lead Us Towards Data-Driven Health Equity?

The Institute for Healthcare improvement indicates that twice as many healthcare organizations cite health equity as a top priority today when compared to 2019. It may feel like the COVID-19 pandemic just made us collectively realize that health disparities exist, but they have been acknowledged in academic, government, and philanthropic spheres for over 4 decades. While I would love to debate if our collective realization was blissful ignorance or intentional avoidance, I will save those
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6 Success Strategies as CMS Drives More Accountable Care by 2030

by Siddharth Thakkar, VP, Product and Marketing at IKS Health 07/13/2022 Leave a Comment

6 Success Strategies as CMS Drives More Accountable Care by 2030

For the better part of a decade, the shift toward value-based care in the U.S. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI). Working to develop, test and evaluate new payment and delivery models in Medicare, Medicaid and the Children’s Health Insurance Program, CMMI has taken aim at improving the provider experience, generating better patient outcomes and reducing the overall cost of care. Recently, CMMI stated that by 2030 every Medicare
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Banner Health Launches Primary Care Health Plan in Northern Colorado

by Jasmine Pennic 06/21/2022 Leave a Comment

Banner Health Launches Primary Care Health Plan in Northern Colorado

What You Should Know: - Banner Health is teamed up with the leader in value-based advanced primary care, Hue Health, to launch a new direct primary care health plan called 39North. - The plan is available to employers and employees based in Northern Colorado, and its name is based on the latitude line of the community it serves. Flume Health, a health-plan-as-a-service platform, handles all of the complex designing and managing of the 39North plan, so Banner and Hue can focus on what they
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Breaking Down the Implications of New No Surprises Act Regulations

by Lynne Rinehimer, Esq, GRC Sales Engineer and Compliance SME for symplr 06/17/2022 Leave a Comment

Breaking Down the Implications of New No Surprises Act Regulations

The importance of the No Surprises Act (NSA) cannot be overstated, as surprise medical bills have long been burdensome for patients in the U.S. healthcare system. In fact, more than half of all U.S. consumers have received an unexpectedly large medical bills.  The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services. For example, if your appendix bursts while at work, you would be rushed to the nearest hospital for an emergency
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How IoT Data Integration Helps Deliver Improved At-Home Healthcare in 2022

by Patricia (Pat) Black, Director of Technical Solutions at Cardinal Peak 06/16/2022 Leave a Comment

How IoT Data Integration Helps Deliver Improved At-Home Health Care in 2022

When it comes to your health and treatment, hospitals leverage a variety of sensors and instruments to collect the necessary information to monitor and diagnose your health status. With essential health data integrated into one platform, healthcare professionals are able to quickly and easily monitor critical care parameters, which allows them to make decisions and deliver the best possible patient care.  Comprehensive big-picture insight into various health parameters, such as a patient’s
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The No Surprises Act: How Payers Can Stay Compliant

by Michael Gardner, Chief Strategy Officer at Virsys12 06/13/2022 Leave a Comment

The No Surprises Act: How Payers Can Stay Compliant

As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a topic discussed by consumers and policymakers. Surprise billing can occur when a patient unknowingly receives care from providers that are outside their network. This can result in balance billing, the practice of billing a patient the difference between what their health plan covers and what the provider charges. Unfortunately, these bills are often the result of care provided in
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Take Command Acquires Technology from Savvy to Expand Benefits Platform

by Fred Pennic 06/02/2022 Leave a Comment

Take Command Acquires Technology from Savvy to Expand Benefits Platform

What You Should Know: - Take Command, a tech-enabled service that offers HRA administration, has acquired innovative HRA intellectual property assets from Savvy, a San Francisco-based, VC-backed healthcare company founded in 2019. Financial terms of the deal were not disclosed. - The acquisition signifies the market growth of Individual Coverage HRAs (ICHRAs, a new model of reimbursing employees for health insurance rather than buying it for them). What's an ICHRA? The
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