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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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
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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Cityblock Health Names Co-Founder Dr. Toyin Ajayi as CEO
What You Should Know:
- Cityblock Health, a value-based healthcare provider for Medicaid, dually-eligible and lower-income Medicare beneficiaries appoints co-founder Dr. Toyin Ajayi to CEO. Co-founder Iyah Romm is stepping down as CEO but will continue serving as a member of the board.
- Dr. Ajayi most recently served as president, where she oversaw the company's growth and clinical model. As CEO, Toyin will help lead the next stage of Cityblock’s growth and further its vision of an
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Recora Raises $20M for Virtual Cardiac Recovery Platform
What You Should Know:
- Recora today emerged from stealth to announce $20M in Series A funding led by SignalFire with participation from Valor Equity Partners and existing investor Pear VC.
- In addition, the company while also unveiled its Cardiac Recovery Program for health systems, medical groups and health plans.
Redefining the Future of Heart Health
Recora is redesigning heart health, beginning with cardiac recovery. Cardiac rehabilitation is indicated
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Report: Private Hospitals Overcharge NYC Government Over $2B Annually
What You Should Know:
- The 32BJ Health Fund, a self-insured fund that provides care for 32BJ SEIU members and their dependents, today released a report that lays bare the stark price disparities between Medicare and private hospitals, and outlines solutions to both reins in prices and holds hospital systems accountable for these practices.
- The report, titled, ‘Hospital Prices: Unsustainable and Unjustifiable’ found that hospital prices are dramatically rising, the main driver in the
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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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Aetion and Cognito Team Up for Predictive Modeling in Alzheimer’s
What You Should Know:
- Aetion, real-world evidence (RWE) tech and analytics provider, and Cognito Therapeutics, a pioneer in neuromodulation therapeutics for neurodegenerative diseases like Alzheimer’s, are partnering to develop an AI-driven predictive model to help payers and providers identify patients with rapidly progressing mild cognitive impairment (MCI) and Alzheimer’s who may benefit from earlier treatment.
Impact of MCI & Alzheimer’s Disease
There are approximately 13.5
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