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
Read More
Medicare Advantage | Payers | News, Analysis, Insights
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
Read More
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
Read More
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
Read More
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
Read More
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
Read More
How Social Determinants of Health Will Impact the Future of Benefit Coverages
Do you have access to healthy foods, transportation to a doctor, high-speed internet for telemed appointments, or a roof over your head? These are assumptions that most of us take for granted, and are not the questions that insurers usually take into consideration. But, as they look to increase member outcomes and foster long-term customer loyalty, considering the changing needs of many consumers in the face of today’s current affairs, it’s time they did.
In fact, forward-looking health plans
Read More
The New Normal: Rethinking Healthcare Delivery in a Post-COVID World
It’s becoming clearer that, while we are all hoping that things are going to go back to the way things were at the beginning of the year, the COVID-19 crisis will result in a new normal. That’s especially true in healthcare, due to four issues that are being wildly amplified by the COVID-19 crisis. Namely:
1. The US government has huge deficits, and healthcare is a major driver of the unsustainable increase in these deficits.
2. Addressing the demand for healthcare as a right (not a
Read More
Inovalon Launches FHIR-Based Solution for Health Plan Compliance
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
Read More
How AI-Driven Insight Could Fuel Medicare Advantage Success
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 competitive market. Enrollment in these plans is growing significantly,
Read More
