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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

CMS Finalizes TEAM Model: A New Era of Value-Based Surgical Care

by Fred Pennic 07/31/2025 Leave a Comment

Meaningful Use Penalties_Meaningful Use_Partial Code Free_Senators Urge CMS to Establish Clear Metrics for ICD-10 Testing

What You Should Know:  - The Centers for Medicare & Medicaid Services (CMS) today issued the 2026 Final Rule that officially codifies the Transforming Episode Accountability Model (TEAM), an innovative new blueprint for tech-enabled, outcome-based care payment models.  - Starting in 2026, TEAM will hold hospitals and health systems accountable for the entire episode of care for major surgeries, from admission through 30 days post-discharge, with the goal of reducing
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Arbital Health Secures $31M to Accelerate Value-Based Care Contracting

by Fred Pennic 07/29/2025 Leave a Comment

Arbital Health Secures $31M to Accelerate Value-Based Care Contracting

What You Should Know:  - Arbital Health, a healthcare technology company providing critical infrastructure for providers and payers to successfully manage risk-based contracts secures $31M in Series B funding round led by Valtruis, with participation from existing investors Transformation Capital, Shaper Capital, and Healthy Ventures.  - The investment will expand Arbital Health’s payer and provider facing capabilities, accelerate value-based care contract performance monitoring,
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DecisionRx & MedeAnalytics Partner to Power Value-Based Medication Optimization

by Jasmine Pennic 07/17/2025 Leave a Comment

MedeAnalytics and ZeOmega Partner to Launch Population Health Navigator

What You Should Know:  - MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader announced its partnership with DecisionRx, a technology-enabled healthcare services company specializing in medication therapy optimization (MTO).  - The collaboration will allow DecisionRx to expand its ability to quantify and communicate the clinical and economic impact of its work with payers and providers under value-based care contracts,
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athenahealth Released Enhanced Capabilities for Value-Based Care

by Jasmine Pennic 07/17/2025 Leave a Comment

athenahealth Released Enhanced Capabilities for Value-Based Care

What You Should Know:  - athenahealth, a provider of network-enabled software and services for healthcare practices nationwide releases new and enhanced capabilities designed to further help practices succeed in value-based care (VBC).  - Practices across athenahealth’s network can now use the athenahealth Marketplace to easily find, choose, and integrate with risk-bearing organizations, including Accountable Care Organizations (ACOs), that align with their goals. The initiative aims
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New Opportunities for Healthcare AI: Decoding the 2026 Medicare Advantage Rate Hike

by David Talby, CEO, John Snow Labs 07/16/2025 Leave a Comment

New Opportunities for Healthcare AI: Decoding the 2026 Medicare Advantage Rate Hike

Last month, the Centers for Medicare & Medicaid Services (CMS) released its 2026 Medicare Advantage (MA) Rate Announcement, projecting a 5.06% average increase in payments to MA plans. That’s a notable jump from the 3.70% increase we saw in 2025. More than just a financial adjustment, this signals growing confidence in the Medicare Advantage model—and with it, growing expectations. What does this mean simply? Insurance companies offering these plans will receive more government funding,
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MedeAnalytics and ZeOmega Partner to Launch Population Health Navigator

by Jasmine Pennic 07/08/2025 Leave a Comment

MedeAnalytics and ZeOmega Partner to Launch Population Health Navigator

What You Should Know:  - MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader, and ZeOmega®, a population health management organization, today announced the co-development of Population Health Navigator (PHN).  - The new solution unites predictive insights with care coordination to power value-based care programs. PHN combines the analytical capabilities of MedeAnalytics' Health Fabric™ with ZeOmega's care management
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Aledade Expands Michigan Footprint with Acquisition of CCA’s Value-Based Care Operations

by Jasmine Pennic 06/25/2025 Leave a Comment

Aledade Expands Michigan Footprint with Acquisition of CCA's Value-Based Care Operations

What You Should Know:  - Aledade, the largest network of independent primary care in the United States, has announced its acquisition of the Michigan-based value-based care operations of CCA Holding Company, Inc.  - The move deepens Aledade’s presence across the state and empowers more physicians to succeed in a healthcare system focused on patient outcomes and quality. Strengthening a Statewide Presence The acquisition includes an Accountable Care Organization (ACO) and a
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Fighting the Chronic Disease Crisis with AI and Value-Based Care

by Joseph Siemienczuk, MD, Medical Advisor for Clinical Solutions at Cedar Gate Technologies 06/10/2025 Leave a Comment

Fighting the Chronic Disease Crisis with AI and Value-Based Care

Poorly managed and uncontrolled chronic diseases are the leading cause of death and disability in the United States, and represent a growing national crisis. Five of the top 10 causes of death – heart disease, cancer, diabetes, obesity, and hypertension – are chronic conditions, or closely linked to preventable and treatable chronic conditions. The prevalence of these diseases has steadily increased over the past two decades. Today, 42% of Americans have two or more chronic conditions, and the
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Lucet Acquires Value-Based Medical Group Emcara Health

by Jasmine Pennic 06/03/2025 Leave a Comment

Lucet Acquires Value-Based Medical Group Emcara Health

What You Should Know:  - Lucet, a behavioral health company providing tech-enabled services to health plans, employers, and providers, today announced its acquisition of Emcara Health (previously PopHealthCare, a GuideWell Company). Financial details of the acquisition were not disclosed.  - Emcara Health is a national, value-based medical group focused on delivering home-based care to clinically complex and high-risk populations. This strategic acquisition is set to address the
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AI Meets Value-Based Care: Cleerly and Cardiac Care Alliance Join Forces

by Jasmine Pennic 05/06/2025 Leave a Comment

What You Should Know:  - Cleerly, a leader in cardiovascular imaging, and Cardiac Care Alliance, a prominent figure in value-based cardiovascular care solutions, today announced a strategic partnership aimed at significantly enhancing cardiovascular care delivery.  - The collaboration will see the integration of Cleerly's advanced AI-powered coronary artery assessment technology into Cardiac Care Alliance's extensive cardiovascular care network. The initiative is set to launch
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