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Medicare Advantage | Payers | News, Analysis, Insights

Vivify Health Launches COVID-19 Screening, Self-Isolation and Monitoring Pathways

by Fred Pennic 03/16/2020 Leave a Comment

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

by Brooke LeVasseur, CEO of AristaMD 02/24/2020 Leave a Comment

The utility and benefit of store-and-forward, or asynchronous telehealth solutions

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 defined by the National Telehealth
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Analysis: January Health IT M&A Activity; Public Company Performance

by Healthcare Growth Partners (HGP) 02/07/2020 Leave a Comment

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 market
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CareMount, Nuvance Partner to Expand Population Health Services in NY

by Jasmine Pennic 02/06/2020 Leave a Comment

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

by Jasmine Pennic 01/30/2020 Leave a Comment

CareMount Health Solutions ACO Generates $779k in Shared Savings in 20189

- 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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Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

by Abhinav Aggarwal, Sr. Director, Encounter Submission and Risk Adjustment Solutions at Edifecs 01/27/2020 Leave a Comment

Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter data is used for payment reimbursement and reconciliation between the health plan and the
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Teladoc COO Shares 5 Virtual Care Predictions to Watch in 2020

by Erica Garvin 01/21/2020 Leave a Comment

- Teladoc Health’s COO David Sides gives a glimpse of what the future holds as more consumers tap into virtual care. Forget face to face, healthcare is moving into cyberspace—albeit not as fast as one would like. Yes, there is no question that the interest in virtual care is growing swiftly. However, the adoption of virtual services has been somewhat slow; only about 10 percent of healthcare consumers have used such services, according to a study by J.D Power. Despite interest from
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Bright Health Lands $635M to Expand Medicare Advantage Plans to More Markets

by Fred Pennic 12/18/2019 Leave a Comment

Bright Health Riases $635M to Expand Medicare Advantage Plans to More Markets

- Bright Health, a diversified consumer-focused healthcare company announced it has raised $635M in Series D funding led by NEA. - The funding will be used to support Bright Health's aggressive growth and hiring as the company continues to strategically expand across products, geographies and consumer bases.- With this round, Bright Health has raised over a billion dollars in equity financing since early 2016, reaching "unicorn status" with a valuation of over $1B. Bright Health, a diversified
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Philips, Humana Partner on 2 Pilot Programs to Improve Care for At-Risk Medicare Advantage Members

by Jasmine Pennic 12/04/2019 Leave a Comment

 - Philips and Human collaborate on new pilot programs designed to help support independent living for at-risk Medicare Advantage members by providing 24/7 access to care. - Humana is identifying a pilot group of members with severe CHF. Philips is providing members with kits that include an interactive tablet that syncs data from connected measurement devices via wireless technology. - Humana is identifying members who are at-risk and offering them Philips Lifeline medical alert service,
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