What You Should Know:
Today, CareFirst BlueCross BlueShield (CareFirst), the largest not- for-profit health plan in the mid-Atlantic region, and Ryse Health (Ryse), an operator of specialized cardiometabolic health clinics, announced a first of its kind quality improvement partnership serving individuals with uncontrolled type 2 diabetes in CareFirst’s commercial networks.The program will pair Ryse providers with CareFirst members in Washington, D.C., Maryland, and Northern
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
VBC: Improving Healthcare Outcomes With A Strong Payer-Provider Relationship
The last few years have emphasized the need for high-quality healthcare for patients that is accessible and affordable for all. There is tension between stakeholders in the healthcare industry surrounding efforts to keep costs low and increase revenue, while not sacrificing patient experience. Years before the pandemic, the Affordable Care Act (ACA) revolutionized the healthcare industry and encouraged a new approach to balancing all the variables: value-based care (VBC). Whereas providers were
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Interwell Health Expands its Value-Based Kidney Care Network
What You Should Know:
Interwell Health, a value-based kidney care company, has recently expanded its network with more than 20 new physician practices--supporting the shift to more value-based kidney care. The Interwell Health provider network now includes 1,700 nephrologists from across the country who are aligned with its mission to reimagine kidney care and help people with chronic kidney disease (CKD) live healthier lives. These 135 practices range from large to small,
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FemTech: Herself Health Raises $26M To Power Primary Care for Women 65+
What You Should Know:
- Herself Health, a New York City-based healthcare company providing comprehensive primary care to women 65+raises $26M in Series A fuding led by Michael Cline of Accretive serving as the lead investor. The company has raised $33 million to date. Juxtapose also participated in the Series A.
- Founded in 2022, Herself Health provides value-based care to women 65+ with a focus on helping women feel seen and heard as they age in a way that the current healthcare
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Fold Health Lands $6M for Optimization Platform for VBC Primary Care
What You Should Know:
- Fold Health,a San Francisco, CA-based platform supporting value-based primary care raises $6M in funding from Iron Pillar and global angel investors.
- Fold partners with leading value-based primary care groups, ACOs, health systems, health plans and digital health companies, to 10x the reach and effectiveness of collaborative care teams in their mission to radically improve outcomes.
Supercharge Primary Care
Despite the rapid shift to value-based
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Aledade Raises $260M to Expand Services for Network of Primary Care Practices
What You Should Know:
Aledade, a Bethesda, MD-based network of independent primary care practices raises $260M in a Series F funding round led by new investor Lightspeed Venture Partners, with participation from Venrock, Avidity Partners, OMERS Growth Equity, and Fidelity Management & Research Company.The new funding will be used to further accelerate the growth of Aledade’s primary care network and strategic alliances with national and regional health plans while continuing to
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Value-Based Care Versus Fee-for-Service: Understanding the Key Differences in Healthcare Models
Value-based care and fee-for-service are two kinds of healthcare reimbursement models for pricing healthcare services. While the fee-for-service model is more traditional, the newer value-based care model has been gaining popularity in recent years.Historically, value-based care has been harder to implement in behavioral healthcare due to difficulty measuring outcomes—it isn’t as simple as physical health. But, lately, this has been changing with the help of technology. This has had an impact on
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FemTech: Pomelo Care Secures $33M for Value-Based Virtual Maternity Care Platform
What You Should Know:
Pomelo Care, an NYC-based value-based virtual maternity care platform that improves maternal and newborn health outcomes, announced $33M in Seed and Series A funding led by Andreessen Horowitz. The latest round brings its total capital raised to date to $33M. The company supports its patients from preconception through an infant’s first year with personalized and proactive 24/7 care from a dedicated, multispecialty team.
Pregnancy & newborn care,
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Syntax Health Launches with $7.5M to Accelerate Value-based Care Alignment for Healthcare Plans and Providers
What You Should Know:
Syntax Health, Inc., an NYC-based enterprise SaaS-based solution for health plans and providers that accelerates alignment in value-based care (VBC) launches out of Redesign Health with $7.5M in initial funding.Syntax Health’s new dynamic platform removes friction in the contracting process using analytics, infrastructure and a collaborative Virtual Workspace. The team-centric enterprise solution drives transparency, collaboration and consistency, and facilitates
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Healthcare Software Investment: 5 Questions for Hospital C-Suite
As hospitals and health systems continue to be stretched thin by negative operating margins, competitive pressures, and workforce shortages, decision-makers must do more with less and make strategic software investments to reduce costs and increase efficiencies in both the short and long term. Decision-makers agree that now is not the time to pull back on software investment: according to research from Bain & Company, 45% of providers have increased their software investments over the past
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