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value-based arrangements

MedArrive, Ouma Partner to Bring In-Home Maternal Care to Vulnerable Medicaid Members

by Jasmine Pennic 03/20/2023 Leave a Comment

MedArrive, Ouma Partner to Bring In-Home Maternal Care to Vulnerable Medicaid Members

What You Should Know: - MedArrive today announced its collaboration with Ouma, one of the most mission-driven maternal health companies in the nation, which has the largest DTC network of maternal-fetal medicine providers (and other care specialists). - The collaboration aims to improve the health of pregnant women and their newborns, especially those at high risk, by adding a vital service to MedArrive’s growing ecosystem of specialty care providers that managed
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Evergreen Nephrology Taps Innovaccer to Transform Kidney Care

by Jasmine Pennic 01/17/2023 Leave a Comment

Evergreen Nephrology Taps Innovaccer to Transform Kidney Care

What You Should Know:  - Evergreen Nephrology, a nephrology-focused value-based care organization, has chosen the Innovaccer® Health Cloud and Innovaccer’s full solution suite to accelerate the transformation of kidney care.  - Innovaccer’s cloud-native solutions selected by Evergreen include tools to optimize care management, physician engagement, patient engagement, referral management, advanced analytics, and dashboard-driven insights to optimize delivery of value-based specialty
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5 Things to Consider Before Implementing a CAPS System in 2023

by Michele Oliveto-Hill, SVP and GM, Global Professional Services, HealthEdge 01/05/2023 Leave a Comment

5 Things to Consider Before Implementing a CAPS System in 2023

Core administrative processing systems (CAPS) serve as the center of the healthcare payer architecture and are essential for efficient business operations. These systems are needed to support administrative and transactional processing and are a significant investment in technology. Selecting a CAPS system isn’t a single purchase, but rather an ongoing partnership that requires maintenance to ensure the system remains up to date to support industry and regulatory changes. Last year, 99% of
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3 Elements Required for Data Ecosystems to Drive Innovation

by Brett M. Furst, President, HHS Tech Group 12/15/2022 Leave a Comment

Why Medicaid Programs Need to Update Their Information Systems

For years, the healthcare industry has been inundated with stories about the importance of sharing data among payers, providers, and other key stakeholders – and for a good reason; widespread interoperability of healthcare data has the potential to transform much of the industry for the better. What's often not mentioned is how expensive, time-intensive, and potentially legally hazardous data-sharing is. Combining disparate data sets is a technically challenging undertaking that requires
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UpStream Raises $140M to Expand Value-Based Care Model Nationwide

by Fred Pennic 12/01/2022 Leave a Comment

UpStream Raises $140M to Expand Value-Based Care Model Nationwide

What You Should Know: - Value-based care provider UpStream raises $140M in Series B funding co-led by Coatue and Dragoneer with additional participation from other top healthcare and technology investors, including Avidity Partners, Define Ventures and Mubadala. This round brings its total funding to nearly $185M to date. - UpStream supports physicians operating under full-risk, value-based arrangements who are providing care to seniors on Medicare with an integrated platform that
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Should I Get Another Booster? How Doctors Can Help Patients Navigate the Next Phase of COVID-19

by Dr. Joe Nicholson, Chief Medical Officer at CareAllies 11/14/2022 Leave a Comment

Should I Get Another Booster? How Doctors Can Help Patients Navigate the Next Phase of COVID-19

The general consensus is that COVID-19 in some form is here to stay. As people come to terms with this reality, primary care providers may be getting more questions from patients – especially older and immunocompromised ones – asking for advice on how to handle different situations. Should I get another booster? Can I start traveling? Is it OK to go to a wedding next weekend? How cautious do I need to be in social settings? The answers to these questions aren’t always clear. A lot depends on
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Should I Get Another Booster? How Doctors Can Help Patients Navigate the Next Phase of COVID-19

by Dr. Joe Nicholson, Chief Medical Officer at CareAllies 10/24/2022 Leave a Comment

Should I Get Another Booster? How Doctors Can Help Patients Navigate the Next Phase of COVID-19

The general consensus is that COVID-19 in some form is here to stay. As people come to terms with this reality, primary care providers may be getting more questions from patients – especially older and immunocompromised ones – asking for advice on how to handle different situations. Should I get another booster? Can I start traveling? Is it OK to go to a wedding next weekend? How cautious do I need to be in social settings? The answers to these questions aren’t always clear. A lot depends on
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SDoH: The Power of Proactive Social Care

by Ted Quinn, Founder & CEO of Activate Care 09/30/2022 Leave a Comment

SDoH: The Power of Proactive Social Care

As we emerge from a public health crisis that magnified and exacerbated health disparities, the need to address social determinants of health (SDOH) has reached a pivotal moment. In both social and healthcare, the pressure is mounting to address key drivers of health and amplify value-based care models.   To succeed, these models need to be effective and measurable as we work to build trust with all stakeholders (e.g., at-risk individuals, health plan members, community
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Votive Health Raises $2.5M to Facilitate Payer-Provider Integration through Value-Based Arrangements

by Fred Pennic 05/03/2021 Leave a Comment

Votive Health Raises $2.5M to Facilitate Payer-Provider Integration through Value-Based Arrangements

What You Should Know: - Votive Health announced its formal launch following a $2.5 million financing led by Flare Capital Partners with Chrysalis Ventures and OCA Ventures as co-investors. - Votive Health is a technology enabled network manager delivering complex care at home for people facing serious illness.  It was founded by a team of health care insiders who share a passion for solving issues that result from the fragmented health system in the U.S. for patients living with a
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Regence, MultiCare Health System to Deploy HL7 Da Vinci Member Attribution List for Value-Based Care Arrangements

by Jasmine Pennic 12/28/2020 Leave a Comment

Regence, MultiCare Health System to Deploy HL7 Da Vinci Member Attribution List for Value-Based Care Arrangements

What You Should Know: - Regence and MultiCare ink first-in-the-nation value-based care partnership to deliver improved health outcomes at lower costs. Health insurance provider Regence and MultiCare Health System, an independent accountable care organization (ACO) have partnered to deploy a first-in-the-nation value-based model that delivers better health outcomes to members at lower costs while simplifying administration for health care providers. Regence serves approximately 3.1
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