In recent years, the healthcare industry's understanding of social determinants of health (SDoH) and their impact on patient outcomes has grown dramatically. Researchers and practitioners now recognize that social isolation and loneliness fall under the SDOH umbrella. In response, many payers and providers are exploring initiatives to address social isolation among members and patients.
The health effects of social isolation and loneliness are costly and harmful. According to Health
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Medicare Advantage | Payers | News, Analysis, Insights
Puerto Rico’s First Home Delivery Pharmacy Launches During COVID-19 Crisis
What You Need to Know:
- Pharmacy benefits manager Abarca and Triple-S Salud announced the launch of Triple-S en Casa, Puerto Rico’s first prescription home delivery program during the COVID-19 crisis.
- Developed in partnership with one of the Island's largest health plans and pharmacy networks, Triple-S en Casa lets consumers manage and order their prescriptions through an easy-to-use mobile app--and have them delivered by a local pharmacy.
Pharmacy benefits manager Abarca and
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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
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
– 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
- 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
- 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
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
- 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
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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