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

Payers Struggle with Provider Data Management Too

by Eric Demers, CEO of Madaket Health 03/04/2021 Leave a Comment

Payers Struggle with Provider Data Management Too

Provider data management is usually discussed from the provider perspective: the busy staff, the needless paperwork amid a pandemic, the faxing, emailing and uploading of data. In these scenarios, the health plans are often painted as the villains for their bureaucratic processes and unique requirements. But the reality is that health plans aren’t totally to blame. Payers and providers share a common goal: to provide the best quality care for their patients. The amount of data, including
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DispatchHealth Reaches $1.7B Valuation, Raises $200M for In-Home Care Model

by Fred Pennic 03/03/2021 Leave a Comment

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

What You Should Know: - DispatchHealth has secured an additional $200 million in a Series D round of funding led by Tiger Global. The additional financing brings DispatchHealth into the “unicorn” category and solidifies its valuation at more than $1.7 billion.  - DispatchHealth’s new round of financing will allow the company to bring it’s model of in-home medical care to more than 100 markets across the country
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Untapping the Potential for Virtual Care in a Pandemic and Beyond

by Dr. Sonny Kohli, Practicing Physician in Internal Medicine and Critical Care and Faculty at SingularityU Canada 02/25/2021 Leave a Comment

Untapping the Potential for Virtual Care in a Pandemic and Beyond

Virtual care is everywhere and ubiquitous. But at a time when the world is amid a global pandemic, virtual care is also being underutilized. The technology exists today to help our healthcare system not only more effectively and efficiently manage care during COVID-19, but also exponentially scale capacity in the face of future outbreaks.  Virtual care defined Virtual care is a broad term. It encompasses all the ways healthcare practitioners provide for care remotely. This can mean
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3 Ways to Boost Patient Confidence with Real-Time Contactless Communication

by Ford Blakely, SVP & GM, Medallia Zingle 02/22/2021 Leave a Comment

How to Boost Patient Confidence with Real-Time Contactless Communication

Although the vaccine’s rollout is slowly underway, Covid cases worldwide are continuing to reach all-time highs as new mutations make the virus even more contagious than ever before. Not surprisingly, patients’ concerns about visiting their healthcare providers in the midst of this global pandemic persist, pushing demand for telehealth solutions that allow patients and their doctors to communicate without the need for in-person visits.  In fact, a recent report from McKinsey found that
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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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