Virtual care received an essential boost in November 2018 when CMS Administrator Seema Verma addressed the Alliance for Connected Care Telehealth Policy Forum for Health Systems. Verma told the audience, "Telehealth is changing the very face of healthcare.” This shift is apparent in the behaviors of healthcare consumers. While consumers may love the idea of virtual care, a new study shows few are taking advantage of it.Patients Hungry for Virtual CareThat’s the core message coming out of a
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Medicare Advantage | Payers | News, Analysis, Insights
5 Ways Health Plans Can Motivate Medicare & Medicaid Members to Complete Their Annual Wellness Visits
Despite the fact that Annual Wellness Visits (AWVs) have been offered as a benefit to Medicare Advantage and Medicaid members for several years, less than one in five members actually receive one. That number is even more surprising when you consider just how important AWVs can be for health plans, providers, and most importantly, consumers.
For example, Medicare Advantage members who complete an AWV are 4.2 times more likely on average to complete other high-value health care activities, such
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DispatchHealth Nabs $33M to Expand On-Demand Healthcare Model to High Acuity Patients
DispatchHealth (formerly known as True North Health Navigation), a Denver, CO-based provider of on-demand healthcare delivery to a patient’s home has raised $33 million in growth capital funding led by Echo Health Ventures, a strategic collaboration of Cambia Health Solutions and Mosaic Health Solutions. The funding also included participation from existing investors Alta Partners, Questa Capital and additional strategic investors.Founded in 2013 by two mobile health executives, DispatchHealth’s
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Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies
Vericred, an NYC-based data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling InsurTech and digital health companies to build innovative solutions that serve the fast-growing Medicare-eligible population.Growth of Medicare Advantage PlansMedicare Advantage – also known as Medicare Part C – is a program in which individuals who qualify for Medicare enroll in certified health plans offered by
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CMS Approves Livongo As An Enrolled Provider for Medicare Advantage Members
Livongo, the leading Applied Health Signals company announced that it has been approved by the Centers for Medicare and Medicaid Services (CMS) as an enrolled provider for Medicare Advantage members. In addition, starting in June, the Livongo for Diabetes program will be available to Medicare Advantage members of Cambia Health Solutions' regional health plans.Empowering America's Senior PopulationCambia reaches nearly 70 million Americans nationwide, including more than two million people in the
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Cardiogram’s Wearable Based Monitoring Tool Is Now Covered by Oscar
Cardiogram is a digital health company announced that it's wearable-based monitoring for atrial fibrillation and diabetes is now covered by Oscar Health Insurance, without paying out of pocket. The coverage will help provide end-to-end preventive care: continuous wearable monitoring, convenient testing, contextualized results, and clinical triage.Impact of Chronic ConditionsFor chronic conditions like diabetes, atrial fibrillation, hypertension, and sleep apnea, anywhere between 20–80% of cases
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AllyAlign Health Raises $10M to Power Value-Based Care for Seniors
AllyAlign Health, a Richmond-based developer and administrator of Medicare Advantage special need plans that benefit long-term care providers has raised $10M in strategic funding led by McKesson Ventures. Existing investors Heritage Healthcare Innovation Fund, Health Enterprise Partners and the LinkAge Fund also participated in the financing. This brings the total capital raised to over $41 million.AllyAlign Health BackgroundAllyAlign Health (AAH) began reforming the health system in 2014 by
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InterSystems Unveils New HealthShare Provider Directory with Unified Care Record
InterSystems has announced the 2019.1 version of the HealthShare® product suite of connected health solutions. The newest member of the suite is the HealthShare Provider Directory, which offers a single source of truth for provider demographic and professional relationship information.Impact of Inaccurate Provider InformationInaccurate provider information has consequences – for patients, payers, and the providers themselves. Wrong telephone numbers and location information limits access to
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UnitedHealthcare Expands Bundled Payments with Medicare Advantage Plans
UnitedHealthcare announced this week it is expanding its use of bundled payment offerings to care providers participating in Medicare Advantage plan networks across more than 30 states to improve quality and lower costs. The expansion builds upon UnitedHealthcare’s existing work with the Centers for Medicare & Medicaid Services’ Bundled Payments for Care Improvement Advanced (BPCI Advanced) program for fee-for-service Medicare.UnitedHealthcare Care Bundles Program OverviewThe
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Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors
Blue Cross and Blue Shield of North Carolina and Duke University Health System have together formed Experience Health, a new health insurance company to offer a Medicare Advantage Plan in 2020. Jointly owned by Blue Cross NC and Duke Health, Experience Health brings together two of the most trusted and innovative names in healthcare to create a locally owned and operated non-profit health plan.Why Experience Health?Blue Cross NC and Duke Health formed Experience Health to take advantage of the
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