What You Should Know
The Funding: Greater Good Health has secured a $20.5M Series B led by Allumia Ventures, alongside up to $12.5M in venture debt from HSBC Innovation Banking.The Backers: The round features strategic participation from heavy hitters, including DaVita Venture Group, Granite Financial Holdings (the investment arm of Blue Cross of Idaho), Optum Ventures, and Flare Capital Partners.The Model: The company tackles the primary care physician shortage by deploying a Nurse
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
athenahealth 2026 Physician Sentiment Survey: AI Adoption, EHR Efficiency, and VBC Trends
What You Should Know
The Affordability Crisis: According to the newly released 2026 Physician Sentiment Survey from athenahealth’s research hub, athenaInstitute, access to affordable healthcare has surged to become the #1 policy concern among physicians (52%, up a massive 14 points over the last three years), indicating that patient financial strain is now directly impacting clinical delivery.The Technology Paradox: While overall optimism about the U.S. healthcare system remains stagnant at
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Honest Health Raises $140M to Scale Value-Based Care Enablement
What You Should Know
The Funding: Honest Health raises $140M led by NewSpring Healthcare, with participation from K2 HealthVentures, Rubicon Founders, Oak HC/FT, and others.The Mission: The company provides the technology-enabled care coordination, data analytics, and operational infrastructure required for legacy health systems and providers to succeed in value-based care (VBC) and shared-risk payment models.The Pedigree: Honest Health boasts heavy-hitting leadership. CEO Dr. Rob Bessler
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CMS Updates MIPS for 2026: Administrative Claims, TEFCA Bonuses, and AI Safety Measures
MIPS (Merit-based Incentive Payment System), a Medicare program that rewards clinicians for delivering high-quality, cost-efficient care, is by nature an evolving entity.
Much the way healthcare continually changes as new knowledge, treatments, and technologies modify past practices, MIPS is ever-changing, with program updates, revisions, and new requirements.
While these changes are well-intentioned and support value-based healthcare, they don’t necessarily make it easier for
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6 Ways Hospitals Can Structure CMS TEAM Collaboration Agreements with Specialists
As the Centers for Medicare & Medicaid Services moves forward with the Transforming Episode Accountability Model (TEAM), hospitals are taking on financial accountability for Medicare’s most complex and costly surgical episodes. Hospitals that don’t take action to achieve better patient outcomes could find themselves owing Medicare money.
While TEAM shifts meaningful risk to hospitals, it also creates an opportunity often missing in value-based care: true collaboration with
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Frist Cressey Ventures Raises $425M Fund to Invest in AI-Native Care
What You Should Know
The Raise: Frist Cressey Ventures (FCV) has closed an oversubscribed $425M Fund IV, bringing its total assets under management to nearly $1 billion.The Strategy: The new fund will focus on early-stage healthcare companies transforming care delivery, with a specific emphasis on AI-native business models and tech-enabled services.The "Moat": FCV’s strategic Limited Partners (LPs)—including The Cigna Group, MedStar Health, and OhioHealth—provide healthcare to over 50% of the
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Atlas Oncology Raises $28M to Take “Full Risk” on Patient Costs
What You Should Know
The Raise: Atlas Oncology Partners has closed a $28M Series A financing round led by Flare Capital Partners, with significant backing from Rubicon Founders.The Model: Atlas isn't just a software vendor; it is a value-based care platform that assumes full medical cost risk. This means they are financially responsible for the total cost of a patient's cancer journey, aligning their incentives with payers and patients.The Strategy: The company embeds interdisciplinary care
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The Interoperability Bridge: How HIEs Secure CMS 2026 Compliance for Payers
As healthcare costs continue to increase and patients demand more from their insurance coverage, there’s rising pressure to provide higher-quality care more efficiently than ever before. The expectations for healthcare payers to achieve the Triple Aim objectives—that is, better patient experiences and improved population health at lower costs—demand that we all become more resourceful in our approach to care.
It's clear that health plans and hospital systems can’t achieve these ambitious
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The ‘Volume’ Era is Dead: Humana Data Proves Value-Based Care Cuts Admissions by 24%
What You Should Know
The Report: Humana’s newly released Value-Based Care By the Numbers Report, reveals that Medicare Advantage members in value-based care (VBC) arrangements are seeing significantly better outcomes than those in traditional models.The Data: The impact is measurable and massive: VBC patients experienced 24.3% fewer hospital admissions and 13.4% fewer emergency room visits in 2024.The Shift: The report validates the industry's transition from "reactive" fee-for-service
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Why Value-Based Care Will Fail Without a Dynamic Tech Stack
Value-based care (VBC) is a fundamental shift from volume-based, fee-for-service models to outcome-driven healthcare delivery. It characteristically requires providers to be far more dynamic about patient care, assessing risk and working collaboratively with other providers for individual patient-centered goals. However, at its full extent, this ask of providers is likely beyond what the average health organization technology stack can facilitate.
VBC providers must manage risk, improve
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