What You Should Know:
- Inovalon announced the availability of its Cloud-Based “Consumer Health Gateway” Module, alleviating the need for health plans to build their own Patient Access API to comply with the new requirement of the 21st Century Cures Act.
- The Consumer Health Gateway is a consumer portal allowing the FHIR®-based exchange of a patient’s claims and clinical data securely with authorized third-party applications. It consists of a robust patient consent and authentication
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Medicare Advantage | Payers | News, Analysis, Insights
How AI-Driven Insight Could Fuel Medicare Advantage Success
Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti
Medicare Advantage plans need more than consumer-centric design, payer/provider alignment, and strong connections across the continuum of care to drive value. The high-value performance also depends on their ability to use data to make a meaningful difference in members’ health.
With 11,000 people aging into Medicare daily, proficiency in managing Medicare Advantage populations is critical for demonstrating value in a
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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
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Addressing Loneliness and Social Isolation in the Medicare Population
Anne Davis, Director of Quality Programs and Medicare Strategy at HMS
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
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Puerto Rico’s First Home Delivery Pharmacy Launches During COVID-19 Crisis
What You Need to Know:
- Pharmacy benefits manager Abarca and Triple-S Salud announced the launch of Triple-S en Casa, Puerto Rico’s first prescription home delivery program during the COVID-19 crisis.
- Developed in partnership with one of the Island's largest health plans and pharmacy networks, Triple-S en Casa lets consumers manage and order their prescriptions through an easy-to-use mobile app--and have them delivered by a local pharmacy.
Pharmacy benefits manager Abarca and
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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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Benefits of Store and Forward, or Asynchronous Telehealth Solutions
Brooke LeVasseur, CEO of AristaMD
An introduction to asynchronous, or store-and-forward, as a modality of telehealth
As our healthcare system continues to innovate in order to meet demands and improve the delivery of value, various telehealth solutions have emerged and been implemented to increase efficiency, access to, and quality of care. Telehealth is a broad term encompassing “a collection of technology-based means or methods to enhance healthcare delivery and education.” As
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Analysis: January Health IT M&A Activity; Public Company Performance
– Healthcare Growth Partners’ (HGP) summary of Health IT/digital health mergers & acquisition (M&A) activity, and public company performance during the month of January 2020.
Ten years into the bull market, we operate in a heightened state of awareness for any indication of market weakness that may signal a downturn. While debt levels are rising and GDP growth somewhat sluggish, the world of private equity, public equity, and M&A continues to be in full swing bull
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CareMount, Nuvance Partner to Expand Population Health Services in NY
- CareMount, New York's top Next-Gen accountable care organization, is partnering with Nuvance Health -- a system of seven hospitals that serve CT and NY -- to better share information for the purpose of providing improved population health services for both organizations.
- CareMount Health Solutions, a physician-owned management services organization, will deliver to Nuvance Health, a suite of population health management services including care coordination and clinical programs, data
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CareMount Health Solutions ACO Generates $779k in Shared Savings
- CareMount Medical’s next-generation ACOs have saved more than $778,582 in shared savings in 2018. CareMount ACO was one of 38 Next Generation ACOs nationally to achieve earned savings for 2018 Performance Year.- In 2019, CMS awarded CareMount Health Solutions ACO, LLC a perfect score of 61 out of 61 points on its Initial Readiness Review (IRR). CMS conducts IRRs for all ACOs entering the Next Generation ACO Model.Chappaqua, NY-based CareMount Medical announces its next-generation ACOs have
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