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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant

Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs

by Jasmine Pennic 04/20/2020 Leave a Comment

Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs

What You Should Know: - Aledade raises $64M in Series C funding led by OMERS Growth Equity to expand its national network of more than 500 physician-driven accountable care organizations (ACOs) across 27 states. - To date, Aledade’s ACOs care for more than 840,000 patients and manage more than $7.5 billion in health care spending through 38 Medicare and 42 other value-based contracts. Today, Aledade announced it has closed a $64 million Series C funding round following the
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Value-Based Care’s Story Will Turn in the 2020s

by Daniel Kus, VP of Pharmacy Services at Henry Ford Health System and Troy Polan, acting CEO of ExceleraRx Corp 04/20/2020 Leave a Comment

Value-Based Care’s Story Will Turn in the 2020s

Value-based care initiatives matured in recent years thanks to exciting new technology and influential policy changes. But the coming decade will see transformative changes that will eventually lead to a uniform realization of value-based care across the entire healthcare continuum. Specialty pharmacy represents one area of healthcare that is wholeheartedly welcoming a discussion about value. With the costs of six-figure specialty drugs and the number of patients using them continuing to
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What Does The CARES Act Mean for Hospitals and Health Systems?

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 04/15/2020 Leave a Comment

What Does the CARES Act Mean for Providers?

As of today, the coronavirus has infected almost 2 million worldwide and caused the deaths of more than 125,000 people (Worldometer data as of 12:15 PM on April 14, 2020). In the United States, the relevant figures are more than 600,000 infected and north of 25,000 deceased. Without successful social distancing, those numbers could be dramatically worse. And still, they are dwarfed by the massive numbers associated with the economic impact of the coronavirus and the illness it causes,
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Addressing Loneliness and Social Isolation in the Medicare Population

by Anne Davis, Director of Quality Programs and Medicare Strategy at HMS 04/09/2020 Leave a Comment

Addressing Loneliness and Social Isolation in the Medicare Population

In recent years, the healthcare industry's understanding of social determinants of health (SDoH) and their impact on patient outcomes has grown dramatically. Researchers and practitioners now recognize that social isolation and loneliness fall under the SDOH umbrella. In response, many payers and providers are exploring initiatives to address social isolation among members and patients. The health effects of social isolation and loneliness are costly and harmful. According to Health
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Deploying a Telehealth Strategy to Mitigate the Impact of the COVID-19 Pandemic

by Dr. Betty Rabinowitz, Chief Medical Officer of NextGen Healthcare 04/03/2020 Leave a Comment

Deploying a Telehealth Strategy to Mitigate the Impact of the COVID-19 Pandemic

Only weeks ago, American doctors’ waiting rooms were bustling with patients of all ages.  This was no surprise as it is estimated that in an average year the U.S. healthcare system provided an estimated 278 office-based physician visits per 100 persons, for a total of approximately 883 million visits per year.  Chronic conditions were the major reason for 37% of all office-based physician visits, and visits for chronic conditions were predictably higher among adults than children. In the
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MassHealth Provides Free Telehealth Services for Women and Families During COVID-19 Pandemic

by Jasmine Pennic 04/01/2020 Leave a Comment

MassHealth will provide free telemedicine appointments for members with COVID-19 symptoms with Maven’s network of obstetric/gynecologists, maternal fetal medicine specialists, pediatricians, family physicians, and general practitioners for women and families in Massachusetts.

What You Should Know: - Maven, the largest telemedicine provider for women’s and family health, announced a new partnership with MassHealth, the Massachusetts, Medicaid and the Children’s Health Insurance Program. - MassHealth will provide free telemedicine appointments for members with COVID-19 symptoms with Maven’s network of obstetric/gynecologists, maternal fetal medicine specialists, pediatricians, family physicians, and general practitioners for women and families in
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COVID-19 Pandemic: Prevent the Oncoming Medical Information Crisis

by Kyle Silvestro, CEO at SyTrue 03/31/2020 Leave a Comment

COVID-19 Pandemic: Prevent the Oncoming Medical Information Crisis

“You only know who is naked when the tide goes out,” Warren Buffett famously said of the nation’s businesses when markets tank. For the nation’s information systems, the opposite is true. You see their weaknesses when they are inundated by a tidal wave of data. A case in point is the information infrastructure of the American healthcare system, which will play a critical role in understanding and battling the COVID-19 pandemic. Just as the capacity of some national health systems have been
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Charges for All Hospitalized COVID-19 Patients May Reach Up to $1.4 Trillion

by Jasmine Pennic 03/25/2020 Leave a Comment

Charges for All Hospitalized COVID-19 Patients May Reach Up to $1.4 Trillion

What You Should Know: - FAIR Health brief finds the total costs for all hospitalized COVID-19 patients range from a low of $362 billion in charges and $139 billion in estimated allowed amounts to a high of $1.449 trillion in charges and $558 billion in estimated allowed amounts, depending on the incidence rate of the infection in the US population. - The total average charge per COVID-19 patient requiring an inpatient stay is $73,300 and the total average estimated allowed amount per
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COVID-19’s Impact on Telehealth & HIPAA Regulations

by Matthew Fisher, Partner & Chair at Mirick O’Connell 03/19/2020 Leave a Comment

The declaration of COVID19 as a pandemic and the United States declaring a national emergency to help contain and enhance treatment access have resulted in a number of changes to ease potential regulatory burdens or barriers in healthcare. Like so much happening as a result of the pandemic, the changes have the potential to fundamentally change the healthcare industry not just during the time of the emergency declaration. Of particular note are coordinated announcements from various agencies
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Vivify Health Launches COVID-19 Screening, Self-Isolation and Monitoring Pathways

by Fred Pennic 03/16/2020 Leave a Comment

Vivify Health Launches COVID-19 Screening, Self-Isolation and Monitoring Pathways

What You Need to Know: - Vivify Health has announced that availability today of new COVID-19 Screening, Self-Isolation and Monitoring Pathways for Vivify+Go mobile solution to providers at non-cost. - This enables low-risk patients or those with mild symptoms to use their mobile devices to self-screen for COVID-19 by answering a series of questions that follow the current Centers for Disease Control and Prevention (CDC) guidelines. - The self-screening helps providers scale their
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