- Providers spend $2.76 billion each year on provider directory maintenance, a new survey by CAQH found. - For individual practices, this intensive process costs $998.84 per month--the equivalent of one staff day per week. That is time and money that most providers can't afford to waste.- CAQH surveyed 1,240 physician practices last month and just released "TheHidden Causes of Inaccurate Provider Directories"-- a new white paper that details the burdens the survey uncovered and what the industry
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Medicare Advantage | Payers | News, Analysis, Insights
Disruptors or Interrupters? How Apple Is Faring In Their Healthcare Initiatives
Key Highlights
- Part one of our new in-depth series on Apple, Google, and Amazon's latest healthcare efforts since our last report in April 2019.
- A look at Apple's recent healthcare developments, as well as an analysis of what goes beyond the news.
Over the last few decades the “digital age” has enabled many garage-based startups to transform into sustained successes by targeting problems that begged to be solved digitally. Sometimes their leaders identified and resolved
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How Value-Based Care is Changing the Way You Build Digital Health Companies
After years of talk, fee-for-service payment models are finally being challenged in a real way. With value-based care, providers are reimbursed based on patient health outcomes rather than the number of patients they see, which has begun to pass the burden of cost from insurers and employers to providers and patients.
Fundamentally, value-based care requires vendors as well as providers to operate differently, but new revenue models and a new approach to hiring deserve special consideration. In
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N.J. Physician Group ACO Generates $6.4M in Medicare Savings
- Partners In Care ACO generated $6.4M in savings and is among top 3 performers statewide under Medicare Shared Savings Program in New Jersey. - While providing high-quality care for patients, Medicare is sharing a portion of these savings with the providers in return.Partners In Care Accountable Care Organization (ACO) generated $6.4 million in savings – an average of $546 per Medicare patient – in 2018. The savings are tracked by the Centers for Medicare and Medicaid Services (CMS), under the
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Why Medicare Advantage Will Lead the Way on Healthcare Consumerism
For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes.
One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer
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Aledade, The Physicians Integrated Network Forms Value-Based Care Collaboration in Greater Philadelphia
- Aledade ACOs and the Physicians Integrated Network (TPIN) join forces to improve care coordination, quality of care, and patient health outcomes
- Under the value-based care agreement, and TPIN’s leading network of independent specialists have agreed to a care compact and intend to explore additional opportunities for clinical collaboration across all payers.
- TPIN’s network is made up of 700 physicians practicing in 24 clinical specialties throughout greater Philadelphia, Delaware
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Top 5 Factors Impacting the US Population Health Management Market
The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years:
1 – A Market Still Maturing
As the market has evolved, providers are taking
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Telehealth Adoption: Convenience & Cost Drive Adoption For Consumers
Convenience and cost are the key drivers of telehealth adoption for American consumers, but lack of awareness is an issue, according to recent findings from American Well’s Telehealth Index: 2019 Consumer Survey. Telehealth leader American Well commissioned Harris Poll to conduct an online study among over 2,000 adults to measure usage and sentiment toward telehealth. The results are weighted to be representative of the American adult population across standard demographics.Majority of Consumers
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PeerWell Lands $6.5M to Commercialize its Worker’s Comp Musculoskeletal Surgery Optimization Platform
Today PeerWell, a San Francisco, CA-based PreHab company helping patients prepare physically and mentally for orthopedic surgery and recover faster has raised $6.5M in Series A funding led by OMERS Ventures with participation from investors Emmett Shear (Co-Founder CEO of Twitch) and Travis May (CEO of Datavant).
Existing investors include XSeed Capital and angel investors
Auren Hoffman (CEO SafeGraph, Co-founder of LiveRamp), Kevin Lin (COO of
Twitch), Michael Seibel (CEO of Y Combinator),
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Health2047 Spins Out Zing Health to Offer SDOH-Driven Medicare Advantage Plans
Today Health2047 Inc. is launching Zing Health, community-focused, physician-led Medicare Advantage plan that addresses social determinants of health (SDOH). Co-founded by Health2047 with experienced entrepreneurs Dr. Eric Whitaker and Dr. Ken Alleyne, Zing Health will initially offer a Medicare Advantage plan built around community and member health outcomes to consumers in the Midwest. With significant seed funding, a passionate and seasoned founding team and major market interest in its
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