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Payers| Payer Industry Impact for Patients, Clinicians, and Healthcare Organizations | News, Analysis, Insights - HIT Consultant

Apriss Health Acquires Care Coordination Platform PatientPing

by Fred Pennic 03/23/2021 Leave a Comment

Care Coordination Network PatientPing Raises $60M to Fuel Expansion

What You Should Know: PatientPing, a comprehensive care collaboration platform focused on behavioral health and substance use disorder., today announced that it has entered into a definitive agreement to acquire care coordination platform Appriss Health. - Together, PatientPing and Appriss, backed by Clearlake Capital Group, L.P., and Insight Partners, will represent the largest and most diverse care collaboration network connecting nearly 1 million healthcare providers to one another and
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AppliedVR Lands $29M for VR Platform to Treat Chronic Pain

by Fred Pennic 03/23/2021 Leave a Comment

AppliedVR Lands $29M for VR Platform to Treat Chronic Pain

What You Should Know: - AppliedVR, a Los Angeles, CA-based company advancing the next generation of digital medicine, today announced $29 million in Series A funding, bringing its total funds raised to date to $35 million. The round, which includes key investors F-Prime Capital, JAZZ Venture Partners, Sway Ventures, GSR Ventures, Magnetic Ventures and Cedars-Sinai, will fuel the company’s growth as it pursues full FDA approval over the next year. - Founded in 2015, AppliedVR provides
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Innovaccer Launches Provider Network Management Solution for Payers on the Innovaccer Health Cloud

by Jasmine Pennic 03/23/2021 Leave a Comment

Innovaccer Launches Provider Network Management Solution for Payers on the Innovaccer Health Cloud

-  Innovaccer, Inc., a leading healthcare technology company, announced the launch of its Provider Network Management solution to assist healthcare payers access complete view and exercise control over their provider network performance. - The Provider Network Management solution is powered by the Innovaccer Health Cloud and an integrated, modular, flexible platform that centralizes data and analytics to create a “single source of provider truth” for all network management needs. -
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Providence-Backed Tegria Acquires Healthcare IT Consulting Firm Cumberland

by Fred Pennic 03/16/2021 Leave a Comment

Providence-Backed Tegria Acquires Healthcare IT Consulting Firm Cumberland

What You Should Know: - Tegria today announced the acquisition of Cumberland, a leading healthcare IT consulting and services firm for payers and providers. Financial details of the acquisition were not disclosed. - The acquisition accelerates the growth of Tegria, launched by Providence in October 2020 to provide next-generation technologies and services to the healthcare sector. As a result of this transaction, Tegria increases its consulting capabilities for payer organizations while
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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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Health Gorilla Nabs $15M to Expand FHIR-based APIs for Digital Health

by Fred Pennic 03/02/2021 Leave a Comment

Health Gorilla Nabs $15M for Expand FHIR-based APIs for Digital Health

What You Should Know:  - Health Gorilla raises $15M to scale its FHIR-based API solutions for digital health and expand into new markets.  - Health Gorilla will introduce new APIs to enable consumer access to medical records, payer-to-payer data sharing, and data quality assessments.  Health Gorilla, a Sunnyvale, CA-based provider of healthcare APIs, today announced it has raised $15 million in Series B financing co-led by IA Capital and Nationwide, with participation
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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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Innovaccer Reaches $1.3B Valuation, Launches Health Cloud Platform

by Fred Pennic 02/24/2021 Leave a Comment

Innovaccer Raises Series D at $1.3 Billion Valuation, Launches Innovaccer Health Cloud to Power the Future of Health

What You Should Know: - Innovaccer closes Series D round of growth capital bringing Innovaccer at a total valuation of $1.3 billion. - In addition, the company has launched the Innovaccer Health Cloud, a platform as a service that combines the company’s Data Activation Platform and application suite with an extensive set of platform services and tools that allow customers and partners to easily develop interoperable applications that improve patient outcomes and lower
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11 Best Practices of a Successful Care Model Transformation Plan

by Moha Desai, Principal, Healthcare Strategy & Transformation 02/19/2021 Leave a Comment

Health systems across the country will require a plan to react to government deep spending cuts and revenue shortfalls due to the COVID-19 pandemic. Hospital services have seen a significant downturn in demand in 2020, and the recent resurgence in cases has led to further decreases. The public health emergency has also resulted in innovation, most notably telehealth, which has been granted temporary pay parity during the pandemic. Still, hospitals and health systems face a year of losses, but
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