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

5 Key Trends Driving Purchasing Decisions in Healthcare IT

by Rohinee Lal, Principal Analyst at Signify Research 03/14/2023 Leave a Comment

5 Key Trends Driving Purchasing Decisions in Healthcare IT

As the healthcare industry continues to evolve and transform with providers facing increasing financial burdens and dynamic patient expectations, Signify Research has had the opportunity to speak to 100s of C-suite health IT executives and departmental decision-makers.  Our conversations with these healthcare leaders have provided greater insight into their organizations’ technology and business strategies.  It has also illuminated their views on the industry’s most pressing issues.  Here are
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Aledade and Humana Inks 10-Year Value-Based Primary Care Collaboration

by Jasmine Pennic 03/02/2023 Leave a Comment

Aledade ACO

What You Should Know: - Independent primary care provider Aledade and health insurer Humana announced a ten-year collaboration to connect independent primary care physicians in Humana’s network with the tools they need to thrive in value-based primary care.  - Building on their existing relationship, the two companies plan to phase in the 10-year term for current and new state-wide agreements, which include a pathway to full risk. The collaboration with Humana will continue to grow as
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Detroit Pistons Selects Progyny for Value-Based Family Building Care

by Fred Pennic 03/01/2023 Leave a Comment

Detroit Pistons Selects Progyny for Value-Based Family Building Care

What You Should Know: - Progyny, a fertility benefits company pioneering value-based care, announced that they have partnered with the Detroit Pistons, to provide comprehensive, equitable family building care for employees and their families.  - Through this partnership, the Detroit Pistons will have access to equitable and comprehensive family building care that its diverse workforce requires. Comprehensive, Value-Based Family Building Care With Progyny, Detroit Pistons
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Vytalize Health Closes $100M to Support Value-Based Care Transformation

by Fred Pennic 02/23/2023 Leave a Comment

Vytalize Health Closes $100M to Support Value-Based Care Transformation

What You Should Know: - Vytalize Health, a leading risk-bearing provider enablement platform, announced it has closed $100 million in funding led by Enhanced Healthcare Partners and Monroe Capital, with participation from North Coast Ventures. - Vytalize Health partners with primary care practices for more than 250,000 patients and offers evidence-based recommendations at the point of care. By delivering the right data at the right time in the workflow to physicians and their staff,
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Apixio Launches EHR-Integrated Post-Visit Solution

by Syed Hamza Sohail 02/23/2023 Leave a Comment

Apixio Unveils AI-Powered Risk Adjustment Auditing Solution

What You Should Know: - Apixio, a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers. With the Centers for Medicare & Medicaid Services' recent Medicare Advantage Risk Adjustment Data Validation Final Rule, healthcare organizations need to have complete diagnosis capture and accurate documentation for reimbursement to ensure compliance. - The new Post-Visit
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Aledade Acquires Curia, Adds More Than 450 New Practices

by Jasmine Pennic 02/21/2023 Leave a Comment

Aledade Acquires Curia, Adds More Than 450 New Practice

What You Should Know: - Aledade today announced the acquisition of Curia, a leader in value-based care analytics using practical applications of artificial intelligence (AI) to optimize the targeting of patient care and engagement programs.  The acquisition will enhance Aledade’s ability to extract valuable insights from disparate data sources, provide more accurate predictions using past data, and optimize primary care workflows through cutting-edge AI algorithms. - In addition, the
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Targeted IT Solutions Ease Navigation and Shift to Value-Based Care

by Ashish Kachru, CEO, DataLink 02/21/2023 Leave a Comment

How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

The new healthcare realm of value-based care (VBC), designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided, presents both opportunities and challenges for all stakeholders. This fundamental shift in reimbursement is intended to become part of the larger quality strategy in reforming how healthcare is delivered and compensated: better care for individuals, better health for populations
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From Telemedicine to Complete Virtual Care and Beyond

by Michael Gorton, CEO of Recuro Health 02/16/2023 Leave a Comment

From Telemedicine to Complete Virtual Care and Beyond

Telemedicine has helped improve the quality of life of patients in every corner of the world and has been successfully utilized to provide convenient care to people with limited or no access to health services. Today, worldwide digital interconnectivity is growing, enabling telehealth to advance health equity, bring access to care for underserved regions and meet the urgent, primary and behavioral healthcare needs of an exploding global population. It has been a remarkable journey for the
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Epic, Impact Advisors, Nordic, Chartis Named 2023 Overall Best in KLAS® Awards

by Fred Pennic 02/09/2023 Leave a Comment

Epic, Impact Advisors, Nordic, Chartis Named 2023 Overall Best in KLAS® Awards

What You Should Know: Epic, Nordic, Impact Advisors and The Chartis Group won the 2023 Overall Best in KLAS® awards. Epic was named the top Overall Software Suite for the thirteenth straight year in 2023 Best in KLAS – Software & Services report, released, which reports on the top vendors for 2022. Epic was also named the top Overall Physician Practice Vendor. Epic won thirteen other Best in KLAS awards in various market segments.  - Impact Advisors tied with Nordic to be a
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Why It’s Time for Intelligent Prior Authorization

by Alina M. Czekai, MPH, VP of Strategic Partnerships at Cohere Health 02/09/2023 Leave a Comment

It’s Time for Intelligent Prior Authorization

The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Specifically, the rule stipulates that health plans adopt electronic prior authorization processes, adhere to shorter turnaround times, clearly communicate denial reasons, publish key metrics annually, and implement the Fast Healthcare Interoperability Resources (FHIR) Application Programming Interface
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