What You Should Know: - Strive Health, the national leader in value-based kidney care, and Nephrology Associates of Northern Illinois and Northern Indiana (NANI), the nation’s largest independent nephrology group, today announced a strategic partnership to jointly pursue and manage global risk payment models. - This partnership will benefit people with chronic kidney disease (CKD) and end stage kidney disease (ESKD) through a “whole patient” approach that enhances lives and communities
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Saint Luke’s Health System Deploys Innovaccer Health Cloud
What You Should Know: - St. Luke's Health System, one of the largest health networks in Kansas City, has adopted Innovaccer Health Cloud to support its initiatives around the Primary Care First and commercial value-based care models. - St. Luke's Health System turned to the Innovaccer Health Cloud and it’s Data Activation Platform to unify claims and clinical data from its EHR and disparate HIT systems. Doing so provides a unified patient record that enables comprehensive, actionable
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Real-World Data Flow – The Only Way to Change Value-Based Care?
Healthcare interoperability issues have always been confusing, changing, and difficult to address. The reason why is not straightforward: we have a fragmented health system with a myriad of specialized applications that are not universally used. Instead, we have a system where each organization elects which technology tools to use and in what configuration. Compounding this fragmented system is the push to value-based care (VBC). As more organizations shift their focus to VBC models, the need
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Cigna & Fresenius Extend VBC Program to Help More People with Kidney Failure
What You Should Know: - Today, Fresenius Medical Care North America (FMCNA) and Cigna announced an expansion of their value-based care(VBC) program to improve health outcomes and lower the cost of care for those living with kidney failure, or end stage renal disease (ESRD), through at least 2023. - First launched in 2017 as part of Cigna Collaborative Care, the VBC program will now include additional incentives to support more kidney disease specialists
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Cricket Health Secures $83.5M to Expand Value-Based Kidney Care Model to Health Plans
What You Should Know: - Cricket Health, a San Francisco, CA-based provider of value-based kidney care with a clinically-proven approach to managing chronic kidney disease (CKD) and end-stage kidney disease (ESKD), today announced it has raised $83.5 million in Series B funding round led by Valtruis with a strategic investment from Blue Shield of California. The round also includes existing investors Oak HC/FT and Cigna Ventures, as well as K2 HealthVentures. - This new funding will help
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PE Firm WCAS Launches $300M Value-Based Care Portfolio Company, Valtruis
What You Should Know: Welsh, Carson, Anderson & Stowe (“WCAS”), a leading private equity firm focused exclusively on the healthcare and technology industries, announced that it is launching Valtruis, a unique portfolio company that will invest in and partner with value-based care driven healthcare companies. WCAS is committing an initial $300M to this platform. Founded on a commitment to accelerate meaningful change, Valtruis brings the functional expertise, access to capital and an
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ACLC, Innovaccer Jointly Launch Value-Based Care Collaborative
What You Should Know: - Innovaccer Inc., a San Francisco-based healthcare technology company, today announced its partnership with the Accountable Care Learning Collaborative (ACLC) to launch various initiatives promoting value-based care (VBC) in the industry. The ACLC is a nonprofit, peer-learning, member organization in which members work together to develop VBC competencies and build resources and tools for their peers. Together, Innovaccer and the ACLC will build a framework
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Humana Acquires Integrated Post-Acute Care Provider onehome – M&A
What You Should Know: - Humana Inc. announced that it has signed a definitive agreement to acquire integrated post-acute care provider One Homecare Solutions (“onehome”) from WayPoint Capital Partners (WayPoint), the private equity affiliate of a New York-based family investment office. - The acquisition will further advance Humana’s strategy to build a value-based home health offering. - Founded in 2013, onehome is a provider of a variety of home-based services, as well as a convener
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Why Provider-Payer Collaboration is the Secret to Value-Based Success
Just before the COVID-19 pandemic emerged, 48% of healthcare providers surveyed said three-quarters of their organization’s payments were grounded in fee-for-service models of care. Fast forward a year and the financial aftershocks of the pandemic have highlighted some of the benefits of value-based models for providers as well as health plans and consumers. Despite the benefits of incentive-based payment models in healthcare, including indications that it may reduce readmissions and
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Applying A Hedge Fund Mentality for Investing in Social Determinants of Health
While I am a practicing clinician, I am a firm believer that improvements in healthcare most often come from borrowing the best ideas from other business models. For example, I have sometimes borrowed from software company and payer colleague insights to describe value-based care (VBC) reimbursement as a subscription model. This model would provide more consistent revenue and allow organizations to better weather challenging times like a pandemic. For providers, this would allow freedom from the
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