What You Should Know: -Innovaccer Inc., a leading healthcare technology company, recently launched its Health Plan Analytics tool, which provides a comprehensive view of health plan performance across the country. -With this tool, payers can identify the quality parameters where they lag and determine the performance threshold to attain satisfactory ratings and enrollment. In addition, the tool generates state-by-state market insights to develop strategies to increase
Read More
Medicare Advantage | Payers | News, Analysis, Insights
Zing Health Acquires Medicare Advantage Plan Provider Lasso Healthcare
What You Should Know: - Zing Health Enterprises, a physician-founded and led provider of Medicare Advantage health plans, has signed definitive documents to acquire Harrisburg, PA-based Lasso Healthcare Insurance Co. - Lasso Healthcare offers Medicare Advantage (MA) plans in 34 states and the District of Columbia. Its insurance offerings currently cover over 6,000 members. Lasso Healthcare offers a pioneering consumer-directed Medicare Advantage product, called a Medicare Medical Savings
Read More
Clover Health Taps Roundtrip to Provide Non-Emergency Transportation Services for Medicare Advantage Members
What You Should Know: - Roundtrip, the leading digital healthcare transportation marketplace, announces it is working with Clover Health, an innovative technology company improving health outcomes for America’s seniors, to offer non-emergency medical transportation to Clover’s Medicare Advantage members. The goal of the collaboration is to combat one of the most significant barriers to care for seniors in America: transportation. - Clover members whose plans include
Read More
3 Strategies to Up-Level Medicare Advantage Enrollment Before it is Too Late
With a new administration looking to reshape healthcare policy and additional special enrollment periods already underway, now is the time to ensure Medicare enrollment systems are ready for the unpredictability, and potential opportunities, ahead. While Medicare is the fastest growing segment of the healthcare industry, it is also highly competitive, expensive to operate in, and riddled with complexities and regulations to navigate. Health plans don’t have room to make a misstep when it comes
Read More
Payers Struggle with Provider Data Management Too
Provider data management is usually discussed from the provider perspective: the busy staff, the needless paperwork amid a pandemic, the faxing, emailing and uploading of data. In these scenarios, the health plans are often painted as the villains for their bureaucratic processes and unique requirements. But the reality is that health plans aren’t totally to blame. Payers and providers share a common goal: to provide the best quality care for their patients. The amount of data, including
Read More
DispatchHealth Reaches $1.7B Valuation, Raises $200M for In-Home Care Model
What You Should Know: - DispatchHealth has secured an additional $200 million in a Series D round of funding led by Tiger Global. The additional financing brings DispatchHealth into the “unicorn” category and solidifies its valuation at more than $1.7 billion. - DispatchHealth’s new round of financing will allow the company to bring it’s model of in-home medical care to more than 100 markets across the country
Read More
Signify Health Shares Soar More Than 33% in IPO, Valuing Company at Over $7.12B
What You Should Know: - Shares of Signify Health, a value-based care billing platform for in-home and bundled health services jumped more than 33% in its initial public offering (IPO), valuing the company at over $7.12B. - Today, Signify Health’s CEO Kyle Armbrester will also join the ranks among the youngest CEOs to ever take a company public – notably alongside Bumble’s CEO who also began trading on the NASDAQ today. - The company raised 564 million by offering 23.5 million
Read More
Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan
What You Should Know: - Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan. - MMM is Puerto Rico’s largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States. - With more than 267,000 MA members and over 305,000
Read More
Aledade Secures $100M for Value-Based Primary Care, Reaching $2.1B Valuation
What You Should Know: - Aledade raises $100 Million in Series D funding to help
more primary care practices thrive in value-based care. - The new funding will power the growth of a nationwide network of more than one million patients by further expanding into Medicare Advantage Contracts. Aledade,
a Bethesda, MD-based provider of value-based primary care, today announced it
has closed a $100 million Series D funding round following a year of
significant growth for its national
Read More
CVS Health Launches Senior Medical Alert System, Symphony
What You Should Know: - Today, CVS Health announced Symphony, a medical alert
system designed to keep seniors safe and connected at home. - Symphony consists of a collection of in-home and wearable devices that offer a new at-home experience by connecting a suite of sensors that can monitor for falls, motion, and room temperature while also providing a 24/7 personal emergency response platform for use when needed. CVS Health, today announced the release of Symphony medical
alert
Read More
