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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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Bamboo Health ACOs Generate $1B+ in Medicare Shared Savings Program
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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Ochsner Health Launches Fall Prevention Pilot Program to Medicare Advantage Members
What You Should Know:
- Ochsner Health and innovationOchsner (iO) have partnered with Bold, an evidence-based, digital exercise platform for older adults aimed at reducing falls and improving health outcomes.
- The Bold platform is one of five interventions in the Ochsner Connected Stability pilot fall prevention and monitoring programs focused on helping Medicare Advantage members who are at the highest risk for falls.
Impact of Non-Fatal Falls
More than 85% of older adults
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Connie Health Nabs $13M for Tech-Enabled Medicare Navigation Platform
What You Should Know:
- Connie Health, a Boston, MA-based tech-enabled consumer Medicare navigation platform helping Americans make more informed health and financial choices has raised $13M in Series A round funding led by Khosla Ventures and Pittango Healthtech.
Unlike employment-based health insurance, where people have two or three options, seniors face hundreds of Medicare choices which are delivered at the individual County
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Innovaccer Unveils Health Plan Analytics Tool to Give a Comprehensive View of Over 700 Medicare Advantage Plans
What You Should Know:
-Innovaccer Inc., a leading healthcare technology company, recently launched its Health Plan Analytics tool, which provides a comprehensive view of health plan performance across the country.
-With this tool, payers can identify the quality parameters where they lag and determine the performance threshold to attain satisfactory ratings and enrollment. In addition, the tool generates state-by-state market insights to develop strategies to increase
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Zing Health Acquires Medicare Advantage Plan Provider Lasso Healthcare
What You Should Know:
- Zing Health Enterprises, a physician-founded and led provider of Medicare Advantage health plans, has signed definitive documents to acquire Harrisburg, PA-based Lasso Healthcare Insurance Co.
- Lasso Healthcare offers Medicare Advantage (MA) plans in 34 states and the District of Columbia. Its insurance offerings currently cover over 6,000 members. Lasso Healthcare offers a pioneering consumer-directed Medicare Advantage product, called a Medicare Medical Savings
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Humana Taps NowPow to Address Social Needs for Medicare & Medicaid Members in Chicago
What You Should Know:
- Humana Inc., today announced it is partnering with NowPow to improve the health of communities across Chicago by identifying and addressing root causes of poor health.
- As part of the partnership, Humana will leverage NowPow’s personalized community referral platform to help extend the digital infrastructure for its population health strategy supporting Humana Medicaid and Medicare members in Chicago. This effort aims to improve members’ health by meeting needs
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Clover Health Taps Roundtrip to Provide Non-Emergency Transportation Services for Medicare Advantage Members
What You Should Know:
- Roundtrip, the leading digital healthcare transportation marketplace, announces it is working with Clover Health, an innovative technology company improving health outcomes for America’s seniors, to offer non-emergency medical transportation to Clover’s Medicare Advantage members. The goal of the collaboration is to combat one of the most significant barriers to care for seniors in America: transportation.
- Clover members whose plans include
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3 Strategies to Up-Level Medicare Advantage Enrollment Before it is Too Late
With a new administration looking to reshape healthcare policy and additional special enrollment periods already underway, now is the time to ensure Medicare enrollment systems are ready for the unpredictability, and potential opportunities, ahead. While Medicare is the fastest growing segment of the healthcare industry, it is also highly competitive, expensive to operate in, and riddled with complexities and regulations to navigate. Health plans don’t have room to make a misstep when it comes
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Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity
The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in response. Within the Health IT industry, the already strong investment and M&A trends seen in 2020 have only accelerated. Over the course of the quarter, we observed $7 billion in private equity and venture capital investment across 158 companies.
By comparison, Q1 of 2020 saw $3.2 billion and 127 investments. Health IT
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