What You Should Know: - Endear Health, a San Francisco, CA-based digital engagement platform built for the rapidly evolving value-based landscape, has successfully closed an oversubscribed $4M seed funding round led by 8VC with participation by GreatPoint Ventures and additional Angel Investors. - Endear Health concurrently announced the appointment of Dr. Robert Mirsky to its Advisory Board to provide guidance as Endear Health expands to additional health plans and provider groups around
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Medicare Advantage | Payers | News, Analysis, Insights
Zing Health Secures $25M to Accelerate SDOH-Driven Medicare Advantage Plans
What You Should Know: - Medicare Advantage provider Zing Health raises $25M from Town Hall Ventures and Leavitt Equity Partners, two leading investors focused on growing innovative healthcare businesses. Zing Health Holdings, a Chicago-based physician-led Medicare Advantage insurance company focused on serving vulnerable populations underserved by traditional insurance models, today announced that Town Hall Ventures and Leavitt Equity Partners, two leading investors focused on
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EasyHealth Secures $135M to Redesign Medicare Experience
What You Should Know: - Easyhealth raises $135M to redesign Medicare with its end-to-end Medicare experience to help 50 million Medicare members find the best plan and support them through their healthcare journey. EasyHealth, an LA-based company connecting coverage and care with an end-to-end Medicare experience, today announced it has raised $135M in equity and debt funding to further its mission to improve health outcomes for Medicare members by connecting coverage and care. Funding
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The Helper Bees Taps Roundtrip to Provide Transportation Services for Members
What You Should Know: - The Helper Bees (THB), a full-service insurtech company that creates innovative aging-in-place solutions for both payers and insureds, announced a provider partnership with Roundtrip, the leading technology solution for non-emergency medical transportation (NEMT). This agreement will bring better transportation options to Medicare Advantage (MA), Long Term Care Insurance (LTCI), health systems, and patients nationwide. - By adding Roundtrip to this network, The
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Ochsner Health Launches Fall Prevention Pilot Program to Medicare Advantage Members
What You Should Know: - Ochsner Health and innovationOchsner (iO) have partnered with Bold, an evidence-based, digital exercise platform for older adults aimed at reducing falls and improving health outcomes. - The Bold platform is one of five interventions in the Ochsner Connected Stability pilot fall prevention and monitoring programs focused on helping Medicare Advantage members who are at the highest risk for falls. Impact of Non-Fatal Falls More than 85% of older adults
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Innovaccer Unveils Health Plan Analytics Tool to Give a Comprehensive View of Over 700 Medicare Advantage Plans
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
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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
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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
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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
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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
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