Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 billion in 2028, with spending per enrollee reaching $20,751.
Key trends are influencing this growth, including:
- An aging population
- Continued increase in overall Medicare costs
- Government support and benefit flexibility (e.g.,
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Ellipsis Health & Ceras Health Integrate to Bring Human Voice as a Biomarker for Mental Health
What You Should Know:
- Ellipsis Health and Ceras Health today announced a partnership that will integrate Ellipsis Health's breakthrough technology that uses the human voice as a biomarker for mental health and wellbeing into Ceras' clinical monitoring platform.
- This integration will combine Ellipsis Health's AI and deep learning technology with Ceras Health's clinical monitoring and health data analytics platform, enabling real-time severity scores for anxiety and depression to improve
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CVS Health in Talks to Acquire Signify Health
What You Should Know:
- Signify Health is exploring strategic alternatives including a sale, according to a Wall Street Journal report. Initial bids are due this coming week. Additional companies are also in acquisition discussions with Signfiy Health, and CVS could face competition from other managed-care providers and private-equity firms.
- The potential Signify acquisition has a market value of around $4.7 B after its shares rose on the news of a potential sale.
Leveraging
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Telehealth Utilization Grew 10.2% Nationally in May 2022
What You Should Know:
- In May 2022, for the second straight month, telehealth utilization, as measured by telehealth's share of all medical claim lines, grew nationally and in every US census region (Midwest, Northeast, South, West), according to FAIR Health's Monthly Telehealth Regional Tracker.
- FAIR Health reports national telehealth utilization increased 10.2 percent, from 4.9 percent of medical claim lines in April to 5.4 percent in May. Regionally, the greatest increase
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Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics
What You Should Know:
- Netsmart announced that it has acquired CORE Analytics, the industry-leading skilled nursing facility (SNF) claims data analytics offering from Zimmet Healthcare.
- With the addition of Core Analytics, Netsmart Simple™is now the only solution suite in the market capable of calculating quality measures and Five-Star ratings leveraging Minimum Data Set (MDS), Payroll-Based Journaling (PBJ) and UB-04 claims data.
Software Solutions to Problems in
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Healthcare & Life Science M&A Activity Plummets 1H’22
What You Should Know:
- The index of Healthcare & Life Science equities tracked by Stout was down 16.8% in Q2 2022, which was in line with the S&P 500 decline of 16.4%.
- Healthcare & Life Science M&A activity plummeted to 338 deals in Q2 2022 versus 535 in Q2 2021 and a record 565 deals in Q4 2021. The report reveals credit markets likely to tighten, but a healthy level of M&A is expected to continue in the growing and defensive healthcare sector.
Key Trends and
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Homeward Raises $50M, Inks Value-Based Contract with Priority Health
What You Should Know:
- Homeward raises $50M Series B funding round co-led by ARCH Venture Partners and Human Capital.
- The funding round also includes participation from General Catalyst, which led Homeward’s Series A funding, and Lee Shapiro and Glen Tullman, Co-Founders of 7wireVentures, one of the country’s most successful early-stage healthcare venture funds.
Value-Based and Comprehensive Care
Americans living in rural communities are experiencing increasing health disparities
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Brave Health & MedArrive Partner to Power Virtual Mental Health
- Brave Health, a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive.
- Through this collaboration, if MedArrive identifies an eligible health plan member in need of mental health support, MedArrive’s field providers can immediately refer that member to Brave Health’s behavioral health providers in real time and schedule care within 72 hours. Conversely, if Brave Health identifies an
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Caption Health, Heartbeat Health Partner to Provide Access to Cardiac Care
What You Should Know:
- Caption Health and Heartbeat Health today announced a partnership that will enable providers to offer their patients earlier access to cardiovascular care than ever before possible.
- Together, the partners are increasing access to early cardiac evaluations and care by providing these two innovations as a value-based bundle for health providers, payers, and value-based care organizations.
Improving Access To Cardiac Care
Limited access to cardiac diagnosis and
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RxLive Raises $5M for Population Health Telepharmacy Solutions
What You Should Know:
- RxLive, a provider of population health pharmacy solutions, today announced a $5 million Series A funding round led by SpringTide with participation by Cardinal Health. RxLive has raised a total of $8 million to date.
- As value-based pharmacy care models expand beyond the retail pharmacy setting RxLive will use the funding to expand its engineering, analytics, and sales and marketing teams, with particular investment in the continuous improvement of its AI and the
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