What You Should Know:
- State of Franklin Healthcare Associates (SOFHA), the largest employee-owned, physician-led multi-specialty primary care group in the nation, has announced a new partnership with Lumeris, a leading value-based care enablement company, to improve healthcare delivery and outcomes in Northeast Tennessee and Southwest Virginia communities beginning in 2025.
- By combining SOFHA’s exceptional provider care with Lumeris’ expertise in population health management and
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Arcadia: Transforming Healthcare with Data-Driven Solutions
What You Should Know:
- Arcadia® (arcadia.io), a leading data platform for healthcare, today announced the launch of two new solutions—Enhanced Benchmarks and Arcadia Vista Push—designed to help healthcare organizations improve value-based care performance and deliver actionable insights at scale.
- The company also detailed a product roadmap that sets the pace for innovation in healthcare analytics. These announcements set a vision for how Arcadia will bring solutions to market that are
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How AI Can Drive the Transition to Value-Based Care
The healthcare industry is at a crossroads, grappling with the dual challenges of declining health quality metrics and skyrocketing care costs. The reality is that health outcomes are driven more by what patients do than by what providers or payers do.
It is estimated that 80% of health outcomes are driven by non-medical factors – often social or behavioral risks that impact health and lead to poor outcomes and high costs. Value-based care (VBC) shifts this focus to helping the patient
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Value-Based Care is Growing – Is Your Data Ready?
The famous quote “What gets measured, gets managed” is often incorrectly attributed to business guru Peter Drucker. Although Drucker may not believe that maxim entirely, when it comes to value-based care (VBC), only care quality that can be measured and reported matters.
Whether it is capitated, bundled, pay-for-performance, or hybrid VBC reimbursement models, the Centers for Medicare and Medicaid Services (CMS) and other payers typically have significant demands regarding quantitative data
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Navigating 2024 Healthcare Challenges: Policy, AI, and the Road Ahead
Now that we’re halfway through 2024, we’ve gained significant insights into the most pressing healthcare issues facing our industry and how they might shape the future. From regulatory hurdles to technological advancements, our sector is at a pivotal juncture, and understanding these dynamics will be crucial for all stakeholders involved.
Here are some of these key challenges and explore the strategies that could help guide us through the rest of the year.
Challenges on the Horizon:
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Humana, Interwell Health Expand Value-Based Kidney Care Agreement to Florida
What You Should Know:
- Humana Inc., a health and well-being company, and kidney care management company Interwell Health are expanding their value-based care agreement to include Florida.
- The expansion will provide eligible Humana Medicare Advantage members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Florida with access to Interwell’s comprehensive care and specialized resources.
Value-Based Care for Improved Outcomes
Value-based
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Harnessing AI to Navigate the Shifting Landscape of Member Engagement
The healthcare landscape continues to evolve rapidly, driven by advancements in technology and the ongoing shift towards alternative payment models. As payers navigate this increasingly complex environment, member engagement has emerged as a critical factor in ensuring the success of healthcare initiatives. Now, with the emergence of artificial intelligence (AI) in healthcare and value-based care, understanding and prioritizing member engagement has become more important than ever.
Patient
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The Imperative to Stay the Course on Value-Based Transformation
Is value-based care still the right strategy to reduce U.S. healthcare costs? Or is it time to move to what comes next in the generation-long battle to constrain total medical spending?
The question is being increasingly asked and with good reason. For 2024 medical costs are projected to rise 7.0% year over year for Individual and Group markets. That is greater than the medical cost trend in 2022 and 2023, which was 5.5% and 6.0%, respectively, and adds to a decade-plus of at least 5.5% per
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Centering The Patient in Value-Based Care Benefits
Forty years ago, at the height of the AIDS epidemic, HIV researchers and physicians discovered that simply treating the symptoms of the disease was not enough to provide lasting improvement for patients. Other factors like unstable living conditions, drug use, the public stigma over AIDS and HIV – known today as social determinants of health – all require attention in addition to a traditional treatment plan. This holistic view of the patient and caring for their symptoms, treatments, and the
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Netsmart Acquires HealthPivots to Enhance Post-Acute Care Solutions
What You Should Know:
- Netsmart, a provider of healthcare technology solutions announced the acquisition of HealthPivots, a market intelligence company specializing in post-acute care.
- The combination of etsmart's CareFabric® platform with HealthPivots' DataLab will create a powerful solution to help post-acute care providers transition to value-based care.
Addressing the Growing Need for Value-Based Care
As healthcare organizations move towards value-based care models,
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