What You Should Know:
- After two months in the top five telehealth diagnoses nationally and in every US census region, COVID-19 fell out of that ranking nationally and in every region in February 2022, according to FAIR Health's Monthly Telehealth Regional Tracker.
- The change coincided with a sharp decline in new cases of COVID-19, as reported by the Centers for Disease Control and Prevention, following the January
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Medicare Advantage | Payers | News, Analysis, Insights
3 Senior Living Providers Merge to Form Curana Health
What You Should Know:
- Three leading organizations that provide healthcare services to senior living communities – Elite Patient Care, Provider Health Services, and AllyAlign Health – have joined forces to form Curana Health. Curana Health’s mission is to improve the health, happiness, and dignity of senior living residents. The Curana Health ACO is a value-based care program for original Medicare beneficiaries.
- The combined Curana Health organization spans 26 states and over 1000+
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Raising Clinical Outcomes and Engagement Through Healthcare Equity: What Health Plans Need to Know
Structural racism and poverty are correlated with a higher incidence of obesity among Black Americans (49%). Social drivers of health, which impact a disproportionate number of non-white Americans who live below the poverty line, account for as much as 90% of individuals’ health outcomes.
These are just two examples of data that highlight the need for equity.
Health plans are well-aware that shifting this dynamic and boosting clinical outcomes is possible through better,
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BCBS of Michigan Launches Joint Venture with Honest Medical Group
What You Should Know:
- Blue Cross Blue Shield of Michigan (BCBSM) today announced a joint venture with Nashville-based Honest Medical Group to offer physicians comprehensive operational, clinical, and financial support for shared accountability Medicare contracts.
- The joint venture is the first of its kind for BCBSM and aligns with the organization's continued expansion of Blueprint for Affordability, its member-focused, value-based care and payment
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Next Generation of Risk Adjustment: Uniting Health Plans and Providers
Up until now, risk adjustment has been addressed as a mechanism to accurately represent the overall risk profile of a health plan’s membership. A function that will still facilitate a health plan’s payment for taking on at-risk populations is about to go through its first major transformation – the use of risk adjustment data to drive value-based program initiatives.
Now that the functional aspects
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Vytalize Health Raises $50M for Value-Based Care Platform for Seniors
What You Should Know:
- Vytalize Health raises over $50 million to advance its value-based care platform for seniors helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care.
- Led by Enhanced Healthcare Partners, the financing round signals an enormous opportunity for Vytalize Health to accelerate the adoption of value-based care programs by providers.
Vytalize Health, a leading value-based care platform for
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Rural Health Startup Homeward Emerges with $20M to Support Rural Communities
What You Should Know
- Homeward, a new company focused on improving access to high-quality, affordable primary and specialty care in rural communities launches with an initial $20M investment.
- The organization is rearchitecting care for rural Americans who have a 23% higher mortality rate than those in urban communities.
Homeward – a San Francisco, CA-based mobile, in-person, and telehealth hybrid care model (with specialty and primary care providers) for people
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NourishedRx Raises $6M to Accelerate Intelligent Food-for-Health Platform
What You Should Know:
- NourishedRx, a digital health company raises $6M in seed funding led by S2G Ventures with additional investors Route 66 Ventures, Connecticut Innovations, Primetime Partners, and other individual investors.
- The company will utilize the funding to expand its high-tech, a high-touch platform to provide personalized, culturally relevant food solutions to health plan members nationwide.
Personalized Nutrition
Founded in 2019, with the support of the Mailman
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Leveraging A More Impactful Analytics Strategy to Improve Your Health Plan Member CX
Healthcare organizations are increasingly eager to leverage analytics technologies, including machine learning and artificial intelligence (AI), in new ways. One telling sign of this is that the global predictive analytics healthcare market, which was valued at $1.8 billion in 2017, is projected to reach more than $8.5 billion by 2025.
But as technology evolves, it’s clear that the types and use of analytics platforms that can drive change among health plans — as well as the breadth of
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RecoveryOne, Cigna Offers Virtual Physical Therapy for Medicare Advantage Customers
What You Should Know:
- RecoveryOne, a digital health innovator dedicated to improving health outcomes for recovery from musculoskeletal (MSK) injuries of all types and reducing costs, announced an expansion of its partnership with Cigna to offer its virtual physical therapy and broad MSK solution for Medicare Advantage (MA) customers as an in-network benefit.
- This new benefit builds on the partnership between Cigna and RecoveryOne announced
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