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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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
What the New CMS Staff Turnover Data Means for Nursing Homes
To make it easier for families and caregivers to evaluate the quality of nursing homes, the Center for Medicare & Medicaid Services (CMS) regularly publishes data on its “Care Compare” website. Anyone can go to the site and search for a facility to find COVID updates, quarterly quality scores, and information on inspections, penalties, ownership, and more.
Last month, CMS added additional metrics to how it scores the quality of nursing homes. The information is now available
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Analysis: CMS Data Underestimates Hospital Labor Spending
What You Should Know:
- Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier.
- The data reveals this discrepancy has resulted in hospitals receiving only a 2.4 percent rate increase, compared to a 6.5 percent increase in hospital labor rates, which account for 76 percent of hospital costs.
- The data CMS uses to account for real
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Why a Focus on Behavioral Health is Key to Improving Quality Measures
Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services. The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs.
As part of this VBC model, hospitals and health systems
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Nudj Health Raises $10M for Tech-Enabled Health Service
What You Should Know:
- Nudj Health, a tech-enabled health service that delivers telehealth lifestyle interventions to patients using the collaborative care model raises $10M in Series A funding led by Nebraska Medicine, Teal Ventures, Cohn Family Trust & Health Innovation Pitch.
- Founded in 2021 in Pasadena, Nudj Health delivers integrated, whole-person, and continuous care for patients with chronic disease. Based on AHA/ACC
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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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DUOS Secures $15M for Senior Assistance Platform for Older Adults
What You Should Know:
- DUOS, a digital health company on a mission to increase the longevity and independence of older adults, announced today a $15 million Series A funding led by Imaginary Ventures, along with participation from existing investors Forerunner Ventures, Declaration Partners, and new investor Optum Ventures.
- DUOS focuses on members' social needs and maximizes their independence by building long-term, high trust 1:1 relationships, coordinating community resources, and
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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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Powered by Biofourmis, Blessing Health System Partners Launches Home Hospital Services
What You Should Know:
- Blessing Health System, an integrated rural health system selects Biofourmis, a virtual care and digital therapeutics provider to launch its own home hospital services.
- As part of the selection, Biofourmis is supporting the health system with its turnkey, end-to-end, home hospital solution for participation in the Rural Home Hospital project.
Delivering Acute-Level Hospital Care Inside Patients’ Homes
This new program allows caregivers to
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What The Finance Industry Can Teach Healthcare About Digital Transformation
The COVID-19 pandemic feels like a once-in-a-lifetime event for those of us involved in healthcare, but the patterns of how the crisis affected our industry feel familiar.
Stop me if you have heard this before: incumbent players in a broad industry made very slow and fragmented technological advances for years with no real threat to their business. Then, a sudden and transformational event catapulted direct-to-consumer technologies, forcing the incumbents to fundamentally alter their business
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