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

Vytalize Health to Acquire Patient Financial Experience Platform MedPilot

by Fred Pennic 02/17/2021 Leave a Comment

Patient Financial Engagement Startup MedPilot Raises $1.5M to Fuel Expansion

What You Should Know: - Vytalize Health to acquire patient financial experience platform MedPilot to accelerate data-driven engagement technology to its ACO's Medicare population. - An alumnus of the Cedars-Sinai Accelerator, MedPilot’s platform has already helped over 1 million patients to date and boasts a 97% patient satisfaction score.   Vytalize Health, a leading provider of value-based healthcare announced it is acquiring MedPilot, a Cleveland-based patient financial
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Signify Health Shares Soar More Than 33% in IPO, Valuing Company at Over $7.12B

by Fred Pennic 02/11/2021 Leave a Comment

Signify Health Shares Soar More Than 33% in IPO, Valuing Company at Over $7.12B

What You Should Know: - Shares of Signify Health, a value-based care billing platform for in-home and bundled health services jumped more than 33% in its initial public offering (IPO), valuing the company at over $7.12B. - Today, Signify Health’s CEO Kyle Armbrester will also join the ranks among the youngest CEOs to ever take a company public – notably alongside Bumble’s CEO who also began trading on the NASDAQ today.  - The company raised 564 million by offering 23.5 million
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Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

by Fred Pennic 02/04/2021 Leave a Comment

Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

What You Should Know: - Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan.   - MMM is Puerto Rico’s largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States. - With more than 267,000 MA members and over 305,000
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Humana Taps DispatchHealth to Power Hospital-Level Care in the Home

by Jasmine Pennic 02/01/2021 Leave a Comment

DispatchHealth Raises $135.8M to Expand On-Demand In-Home Care Model

What You Should Know: - Humana Inc. and DispatchHealth, a provider of in-home medical care, today announced an agreement to provide Humana members with access to an advanced level of care in the home – to help enhance patients’ experience and health outcomes. The Dispatch-Humana agreement is believed to be the country’s first program to provide hospital-level care involving a national payer. - The agreement will provide members living with multiple chronic conditions – such as cellulitis,
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Why CMS Will Lead the 2021 Kidney Care Revolution

by Chris Riopelle, CEO of Strive Health 01/27/2021 Leave a Comment

Why CMS Will Lead the 2021 Kidney Care Revolution

After an unprecedented year, kidney care providers, including nephrologists, dialysis facilities, and care extenders are expecting 2021 to follow suit. We will see an overhaul in reimbursement and major industry shifts, partly led by CMS, that will require providers to advance their capabilities in a way that will usher in more widespread innovation. These new models encourage a shift in treatment approach that will deliver earlier interventions and better outcomes.  The following are
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Hurdle Secures $5M for Digital Mental Health Platform for People of Color

by Fred Pennic 01/25/2021 Leave a Comment

Hurdle Secures $5M for Digital Mental Health Platform for People of Color

What You Should Know: - Washington, D.C.-based Hurdle raises $5M in seed funding to accelerate its digital mental health platform for people of color. - Hurdle aims to provide an innovative teletherapy solution for employers and insurers; aims to remove barriers to mental health care for People of Color by rooting its services in evidence-based methods of cultural humility. Hurdle (formerly Henry Health), a Washington, D.C.-based innovative digital mental health platform company,
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Aledade Secures $100M for Value-Based Primary Care, Reaching $2.1B Valuation

by Jasmine Pennic 01/19/2021 Leave a Comment

Aledade ACO

What You Should Know: - Aledade raises $100 Million in Series D funding to help more primary care practices thrive in value-based care. - The new funding will power the growth of a nationwide network of more than one million patients by further expanding into Medicare Advantage Contracts. Aledade, a Bethesda, MD-based provider of value-based primary care, today announced it has closed a $100 million Series D funding round following a year of significant growth for its national
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CVS Health Launches Senior Medical Alert System, Symphony

by Jasmine Pennic 01/14/2021 Leave a Comment

CVS Health Launches Senior Medical Alert System, Symphony

What You Should Know: - Today, CVS Health announced Symphony, a medical alert system designed to keep seniors safe and connected at home. - Symphony consists of a collection of in-home and wearable devices that offer a new at-home experience by connecting a suite of sensors that can monitor for falls, motion, and room temperature while also providing a 24/7 personal emergency response platform for use when needed. CVS Health, today announced the release of Symphony medical alert
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Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

by Dr. Gary Call, Chief Medical Officer at HMS 01/14/2021 Leave a Comment

Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

As healthcare spending continues to rise, so too does the inherent risk for bad actors to take advantage. Today, the United States is estimated to spend nearly 18 percent of its GDP, or $3.6 trillion, on healthcare, and is expected to increase to one-fifth of GDP within the next decade, according to the latest data. This alone provides ample motivation for fraud and abuse. While the full extent of healthcare fraud is difficult to measure, The National Health Care Anti-Fraud Association
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Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

by Fred Pennic 01/12/2021 Leave a Comment

Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

What You Should Know: -  Net Health acquires post-acute market analytics platform PointRight to deepen the company’s analytics capabilities, post-acute presence, and support for SNF networks. Net Health, a provider of cloud-based software for specialty medical providers across the continuum of care, today announced that it has acquired PointRight Inc., a leading provider of analytics and data-driven tools for the post-acute market. The acquisition adds to Net Health’s expanding
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