What You Should Know: - Aledade is continuing its strong momentum today, announcing that Cigna Healthcare Medicare Advantage customers can now receive value-based care from Aledade’s network of independent primary care practices. - Participating practices can access Aledade’s cutting-edge data analytics, user-friendly guided workflows, and health care policy expertise, as well as integrated care services supported by AledadeCare Solutions. - This news comes shortly after Aledade
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Humana
Aledade and Humana Inks 10-Year Value-Based Primary Care Collaboration
What You Should Know: - Independent primary care provider Aledade and health insurer Humana announced a ten-year collaboration to connect independent primary care physicians in Humana’s network with the tools they need to thrive in value-based primary care. - Building on their existing relationship, the two companies plan to phase in the 10-year term for current and new state-wide agreements, which include a pathway to full risk. The collaboration with Humana will continue to grow as
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Home Healthcare Market is Expected to Reach $340.2B
What You Should Know: - Home Healthcare market in terms of revenue was estimated to be worth $226 Billion in 2022 and is poised to reach $340.2 billion by 2027, growing at a CAGR of 8.5% from 2022 to 2027 according to a latest report published by MarketsandMarkets™. - The report reveals growth in this market is mainly driven by rapid growth in the elderly population, and the rising incidence of chronic diseases. Rising Demand for Home-Health Services & Solutions The home
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Healthcare Payment Integrity: Insourcing vs. Outsourcing
Faced with shifting regulations, growing administrative complexity, high-dollar claims, and the looming potential of audits, payment integrity is an increasingly important priority for payers. Payers realize that when they make the correct payments to providers initially, they increase trust, reduce provider abrasion, and lower appeal rates. Traditionally, many health plans have outsourced payment integrity work to vendors who perform reviews, and then return the results to those health
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17 Executive Hospital/Health System Predictions to Watch in 2023
Vijay Kedar, Co-Founder and CEO at Tomorrow Health Health systems will realize their challenges are not transitory but systemic: This year saw health systems facing a myriad of compounding threats – from historic inflation exacerbating their cost structures, front-line clinician burnout driving widespread labor shortages, and increased capacity issues that left patients in hospital facilities one full day longer than in the prior year. As the financial markets turned south, many institutions
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Monogram Health Secures $375M to Expand In-Home Kidney Care
What You Should Know: - Monogram Health, a Nashville, TN-based kidney disease benefit management and care delivery company announced a $375M growth funding round that will drive the company’s continued rapid expansion as the leading solution for high-quality, in-home care for polychronic patients living with chronic kidney and end-stage renal disease in the U.S. - Investors in the round include CVS Health, Cigna, Humana, Memorial Hermann Health System, SCAN, TPG Capital, Frist Cressey
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Exec Hires: Icario Appoints Marc Willard as Chief Executive Officer
What You Should Know: - Icario, the healthcare industry’s largest health action company has appointed Marc Willard as its new CEO. - Willard will also join Icario’s Board of Directors and Steve Wigginton, Icario’s founding CEO, will remain an investor in and advisor to the company. Marc Willard Bio/Background Having spent the last three decades leading and building healthcare technology businesses, Willard brings highly relevant experiences and industry relationships to his new
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HLTH22 Day 3 News Summary
DispatchHealth Raises $330M for Hospital-at-Home Care DispatchHealth, a provider of in-home medical care raises $330M led by Optum Ventures with support from current investors such as Humana (NYSE: HUM), Oak HC/FT, Echo Health Ventures and Questa Capital. New investors included Adams Street Partners, the Olayan Group, Silicon Valley Bank, Pegasus Tech Ventures and Blue Shield of California. Patients and their care partners can request DispatchHealth medical care via phone, mobile app, or
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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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Humana Taps Cohere Health to Streamline Prior Authorizations for Cardiovascular & Surgical Specialties
What You Should Know: - Health insurer Humana has expanded its partnership with Cohere Health to streamline the prior authorization process for cardiovascular care and surgical specialties. Both these care pathways are clinically complex, involving multiple exchanges between primary care physicians and specialists, which can contribute to costly and unnecessary variations in care. - For surgical services, Humana staff will use the Cohere Unify™
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