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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant

NourishedRx Raises $6M to Accelerate Intelligent Food-for-Health Platform

by Jasmine Pennic 02/16/2022 Leave a Comment

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

by Suzanne Cogan, General Manager, SPH Analytics, a Press Ganey Solution 02/16/2022 Leave a Comment

Suzanne Cogan, General Manager, SPH Analytics, a Press Ganey Solution

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

by Fred Pennic 01/24/2022 Leave a Comment

RecoveryOne, Cigna Offers Virtual Physical Therapy for Medicare Advantage for Seniors

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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3 Trends Impacting the Financial Health of Patients and Providers in 2022

by Srulik Dvorsky, CEO and Co-founder, TailorMed 01/21/2022 Leave a Comment

3 Trends Impacting the Financial Health of Patients and Providers in 2022

It's an unfortunate reality of our times: Healthcare in the United States has become increasingly unaffordable, challenging patients, providers, and pharmacies alike. One in 5 adults reported they can’t afford quality care. Uncompensated care hovers around $40B annually. The COVID-19 pandemic continues to strain the resources of our healthcare system. What lies ahead?  Against a backdrop of growing financial burden, these three trends tell the story of where healthcare affordability is
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Endear Health Raises $4M for Payor Member Experience Platform for Medicare Advantage Plans

by Jasmine Pennic 01/10/2022 Leave a Comment

Endear Health Raises $4M for Payor Member Experience Platform for Medicare Advantage Plans

What You Should Know: - Endear Health, a San Francisco, CA-based digital engagement platform built for the rapidly evolving value-based landscape, has successfully closed an oversubscribed $4M seed funding round led by 8VC with participation by GreatPoint Ventures and additional Angel Investors. - Endear Health concurrently announced the appointment of Dr. Robert Mirsky to its Advisory Board to provide guidance as Endear Health expands to additional health plans and provider groups around
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Zing Health Secures $25M to Accelerate SDOH-Driven Medicare Advantage Plans

by Fred Pennic 12/20/2021 Leave a Comment

Health2047 Spins Out Zing Health to Offer SDOH-Driven Medicare Advantage Plans

What You Should Know: - Medicare Advantage provider Zing Health raises $25M from Town Hall Ventures and Leavitt Equity Partners, two leading investors focused on growing innovative healthcare businesses. Zing Health Holdings, a Chicago-based physician-led Medicare Advantage insurance company focused on serving vulnerable populations underserved by traditional insurance models, today announced that Town Hall Ventures and Leavitt Equity Partners, two leading investors focused on
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Medicare Transformation Company Ilumed Raises $16.5M to Expand DCE Services

by Fred Pennic 12/15/2021 Leave a Comment

Medicare Transformation Company Ilumed Raises $16.5M to Expand DCE Services

What You Should Know: - Ilumed, a Medicare transformation company focused on assisting patients to achieve their healthiest lives by driving lower cost, better quality and more equitable healthcare outcomes raises $16.5M in Series A funding led by Ascend Partners. - Ilumed is one of fifty-three Direct Contracting Entities approved by the Centers for Medicare & Medicaid Services as part of CMS’s Global and Professional Direct Contracting Model, which was designed to enhance care quality
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EasyHealth Secures $135M to Redesign Medicare Experience

by Fred Pennic 11/18/2021 Leave a Comment

What You Should Know: - Easyhealth raises $135M to redesign Medicare with its end-to-end Medicare experience to help 50 million Medicare members find the best plan and support them through their healthcare journey. EasyHealth, an LA-based company connecting coverage and care with an end-to-end Medicare experience, today announced it has raised $135M in equity and debt funding to further its mission to improve health outcomes for Medicare members by connecting coverage and care. Funding
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A State Roadmap To Successfully Deploy Medicaid Modularity (MMIS)

by Victor Sterling, Principal Industry Consultant & Tom Wriggins, Principal Solutions Architect at SAS 11/03/2021 Leave a Comment

In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. More broadly, Medicaid Modularity is about improving states’ Medicaid Management Information Systems (MMIS). In 2016, the Centers for Medicare and Medicaid Services (CMS) followed by issuing guidance on how states should move forward with
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Bamboo Health ACOs Generate $1B+ in Medicare Shared Savings Program

by Fred Pennic 10/12/2021 Leave a Comment

Appriss/Patient Ping Rebrands as Bamboo Health

What You Should Know:  - Following the National Association of Accountable Care Organizations (ACOs) announcement of 2020 data detailing the Medicare Shared Savings Program (MSSP), Medicare's largest alternative payment model, Bamboo Health, formerly Appriss Health and PatientPing, announced its national network of ACOs generated over $1 billion in total shared savings.  - Bamboo Health’s ACO partners succeed under value-based care programs like the MSSP by utilizing their Pings
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