What You Should Know: - Three leading organizations that provide healthcare services to senior living communities – Elite Patient Care, Provider Health Services, and AllyAlign Health – have joined forces to form Curana Health. Curana Health’s mission is to improve the health, happiness, and dignity of senior living residents. The Curana Health ACO is a value-based care program for original Medicare beneficiaries. - The combined Curana Health organization spans 26 states and over 1000+
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
HSBlox Releases Enhanced VBC Contract Builder
What You Should Know: - HSBlox, a technology company empowering healthcare organizations with the tools and support to deliver value-based care (VBC) successfully and sustainably, today announced Release 3.5 of its CureAlign platform. - CureAlign enables healthcare organizations to administer value-based programs, including network build-out, contract administration, permissioned data exchange and payment. CareAlign 3.5 Overview CureAlign 3.5 further
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BCBS of Michigan Launches Joint Venture with Honest Medical Group
What You Should Know: - Blue Cross Blue Shield of Michigan (BCBSM) today announced a joint venture with Nashville-based Honest Medical Group to offer physicians comprehensive operational, clinical, and financial support for shared accountability Medicare contracts. - The joint venture is the first of its kind for BCBSM and aligns with the organization's continued expansion of Blueprint for Affordability, its member-focused, value-based care and payment
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Why a Focus on Behavioral Health is Key to Improving Quality Measures
Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services. The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs. As part of this VBC model, hospitals and health systems
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Next Generation of Risk Adjustment: Uniting Health Plans and Providers
Up until now, risk adjustment has been addressed as a mechanism to accurately represent the overall risk profile of a health plan’s membership. A function that will still facilitate a health plan’s payment for taking on at-risk populations is about to go through its first major transformation – the use of risk adjustment data to drive value-based program initiatives. Now that the functional aspects
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Vytalize Health Raises $50M for Value-Based Care Platform for Seniors
What You Should Know: - Vytalize Health raises over $50 million to advance its value-based care platform for seniors helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. - Led by Enhanced Healthcare Partners, the financing round signals an enormous opportunity for Vytalize Health to accelerate the adoption of value-based care programs by providers. Vytalize Health, a leading value-based care platform for
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Forge Health Secures $11M for Value-Based Behavioral Health Model
What You Should Know: – Forge Health, a White Plains, NY-based behavioral healthcare provider with a proven, national-payer-validated ability to drive clinical outcomes that span all areas of health, today announced an $11M growth funding round led by HC9 Ventures. - Innovative behavioral health company works with payers and health systems to enable value-based care for mental health and substance use populations. Transforming Addiction and Mental Health Treatment Founded in 2016,
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Clarify Health Secures $150M for Value-Based Payments Platform
What You Should Know: - Clarify Health, a cloud analytics and value-based payments platform company, announced today that it secured $150 million in Series D financing. SoftBank Vision Fund 2 led the round and was joined by funds and accounts managed by BlackRock and Memorial Hermann Health System, along with existing investors Insight Partners, Spark Capital, KKR, Aspenwood Ventures, Rivas Capital, and Sigmas Group. - This newest round of funding comes on the heels of the
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Analysis: US Ambulatory EHR Market Shake-Up at HIMSS 2022
During, and in the run-up to, HIMSS earlier this month there were several announcements from US EHR vendors that will shake up the US EHR market, particularly in the ambulatory segment. These included: - Allscripts’ announcement that it is to sell its Sunrise, Paragon, TouchWorks, Opal, dbMotion, STAR and HealthQuest business to Harris Computer Corp. - Meditech’s announcement that Expanse Ambulatory is to be made available to independent and physician-owned practices, alongside its
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UHG’s Optum Acquires Home Health Business LHC Group for $5.4B
What You Should Know: - UnitedHealth Group subsidiary Optum has agreed to acquire LHC Group, a national patient-focused provider of high-quality in-home health care services for $5.4 billion ($170 per share). - The acquisition will further strengthen their shared ability to advance value-based care, especially in the comfort of a patient’s own home. Extend Value-Based Care into Patients’ Homes The combination of LHC Group with Optum Health, which works
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