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

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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20 COVID-19 Predictions and Trends for 2021 – Executive Roundup

by Fred Pennic 01/05/2021 Leave a Comment

20 COVID-19 Predictions and Trends for 2021 - Executive Roundup

Dr. Justin Graham, Chief Medical Officer, GYANT The rapid development of a COVID-19 vaccine is a monumental achievement, but it does nothing to address our extremely fragmented healthcare system. In 2021, policymakers must create and extend incentives to providers to work together to keep patients healthy rather than maximize profit. The pandemic has devastated the traditional fee-for-service budgets of many healthcare systems, and it isn't clear they will ever be able to catch up without
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12 Telehealth & Virtual Care Predictions and Trends for 2021 Roundup

by Fred Pennic 01/04/2021 Leave a Comment

12 Telehealth & Virtual Care Predictions and Trends for 2021

Dr. Paul Hain, Chief Medical Officer of GoHealth Telehealth is Here to Stay in 2021 Prior to the pandemic, telehealth was a limited ad-hoc service with geographic and provider restrictions. However, with both the pandemic restrictions on face to face interactions and a relaxation of governmental regulations, telehealth utilization has significantly increased from thousands of visits in a week to well over a million in the Medicare population. What we’ve learned is that telehealth allows
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2020’s Top 20 Digital Health M&A Deals Totaled $50B

by Fred Pennic 12/31/2020 Leave a Comment

2020’s Top 20 Digital Health M&A Deals Totaled $50B

Teladoc Health and Livongo Merge The combination of Teladoc Health and Livongo creates a global leader in consumer-centered virtual care. The combined company is positioned to execute quantified opportunities to drive revenue synergies of $100 million by the end of the second year following the close, reaching $500 million on a run-rate basis by 2025. Price: $18.5B in value based on each share of Livongo will be exchanged for 0.5920x shares of Teladoc Health plus cash consideration of
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30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

by Fred Pennic 12/30/2020 Leave a Comment

30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various institutions, geographies, patient demographics, and medical scanners. The sensitivity and selectivity of these models are outperforming AI models
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For Better Patient Care Coordination, We Need Seamless Digital Communications

by Catherine Thomas, VP of Customer Experience & Dr. Peter S. Tippett, Founder and CEO of careMESH 12/22/2020 Leave a Comment

For Better Patient Care Coordination, We Need Seamless Digital Communications

A recent Advisory Board briefing examined the annual Centers for Medicare & Medicaid Services (CMS) Readmission penalties.  Of the 3,080 hospitals CMS evaluated, 83% received a penalty for payments to be made in 2021, based on expected outcomes for a wide variety of treated conditions. While CMS indicated that some of these penalties might be waived or delayed due to the impacts of the Covid pandemic on hospital procedure volumes and revenue, they are indicative of a much larger
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Papa Launches Virtual Primary Care Platform to Support Aging Americans During The Pandemic

by Jasmine Pennic 12/15/2020 Leave a Comment

Papa Launches Virtual Primary Care Platform to Support Aging Americans During The Pandemic

What You Should Know: - Papa, the popular "family on-demand" service for older adults, today announced the launch of Papa Health, a new virtual health platform aimed at improving health outcomes for the vulnerable aging population during the pandemic. - The comprehensive health management platform will include virtual primary care, urgent care, and chronic care management - adding to its existing services that provide older adults with companionship and assistance with
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