The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries.
The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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Medicare Advantage | Payers | News, Analysis, Insights
Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members
What You Should Know:
- Humana Inc. and Fresenius Medical Care North America
(FMCNA) today announced an agreement to broaden their collaboration toward
improving the health of eligible Humana Medicare Advantage members
- The
agreement between Humana and Fresenius Medical Care North America goes into
effect Jan. 1, 2021.
Humana Inc. and leading renal care company Fresenius Medical Care North America (FMCNA) announced an agreement to broaden their collaboration toward improving the
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Walmart to Offer Medicare Insurance Plans During 2020 Open Enrollment
What You Should Know:
- Walmart announced it will begin selling Medicare
insurance plans during this year’s annual enrollment period, Oct. 15 through
Dec. 7.
Today, Walmart
announced the launch of Walmart
Insurance Services, LLC, a licensed insurance brokerage, which will assist
people with enrolling in insurance plans—and simplify what’s historically been
a cumbersome, confusing process. Walmart Insurance Services will begin selling
Medicare insurance plans during this year’s Annual
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Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly
What You Should Know:
- Independence Blue Cross and Signify Health launches
social determinants of health network, CommunityLink to connect data from multiple
CBOs to integrate social directly into medical care in the Philadelphia area.
- CommunityLink represents one of the first examples
nationwide of combining in-home health with social care.
Independence Blue Cross
(Independence) and Signify Health
announce the launch of CommunityLink™, a social
determinants of health (SDoH)
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Designating Ownership of Provider Data Will Improve Care Coordination, Study Finds
What You Should Know:
- New LexisNexis Risk Solutions Health Care survey reveals
that 63% of respondents believe designating ownership of provider data will
improve care coordination, yet only 18% of organizations report having a
dedicated data governance department
- The survey results are based on over 100 qualified
responses from organizations across the industry, including independent
hospitals, teaching hospitals, independent physician groups, and federally
qualified health
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Cone Health to Merge with Sentara Healthcare Totaling $11B in Assets
What You Should Know:
- Cone Health has signed a letter of intent to merge with
Norfolk, Virginia-based Sentara Healthcare for a combined $11B in assets.
- The merger creates one large health system totaling of
17 hospitals – 11 Sentara hospitals in Virginia and one in Elizabeth City,
N.C., and five Cone Health hospitals in the area surrounding Greensboro.
Cone Health has signed a letter of intent to merge with Norfolk, Virginia-based Sentara Healthcare. The merger will
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COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever
In the late 1940s, the United Kingdom was busily reassembling country and what remained of the empire in the aftermath of World War II. Among many revelations, the war had convinced Britain’s leaders of the need to provide healthcare for all in the event of calamity upending the basic functions of a civilized society. With that, the UK’s National Health Service (NHS) was born.
In 2020, all perspectives about quality and the time it takes to see a provider aside, the NHS remains quite popular
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Cedar Gate Technologies Acquires Citra Health Solutions to Expand Value-based Technology
Cedar Gate Technologies
(Cedar Gate), a Greenwich, CT-based value-based care
performance management company, today announced its acquisition
of Citra Health Solutions (Citra), a
provider of capitation management software solutions.
Expands Value-Based Care Technology Suite with Citra's Capitation
Management Solutions
By acquiring Citra, Cedar Gate expands its software and
services capabilities across the full spectrum of value-based care. By
combining Cedar Gate's existing capabilities in
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UnitedHealthcare Dental Rolls Out New Teledentistry Option
What You Should Know:
- New offering is part of UnitedHealthcare Dental’s
comprehensive response to COVID-19, which also includes financial support for
customers and enhanced payments for network providers.
- Dental care ranks among the most frequently avoidable
ER visits, with the emergence of teledentistry providing a key resource to help
people make more informed decisions about where to go for care and avoid
potential exposure risks with in-person care facilities.
With
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DispatchHealth Raises $135.8M to Expand On-Demand In-Home Care Model
What You Should Know
- Today DispatchHealth announced the closing of $135.8 million growth capital financing led by Optum Ventures and included participation from existing and new strategic investors.
- The additional funding enables DispatchHealth to
continue to provide in-home medical care to even more vulnerable, high-needs
patients by growing its existing 19 markets, expanding to new markets, and
launching additional services.
- Many health systems, including Renown Health and
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