Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. Unlike traditional fee-for-service (FFS) models that reimburse providers based on volume (i.e., the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Ultimately, success under these reimbursement models hinges upon seamless coordination between all stakeholders across the continuum
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Aledade Raises $123M to Expand Value-Based Primary Care
What You Should Know:
- Aledade, a Bethesda, MD-based provider of value-based primary care raises $123M in Series E funding to support investments in value-based care for more seniors covered by Medicare Advantage (MA) and innovation that improves patient care and increases medical cost savings, including expanded offerings through its new health services subsidiary, Aledade Care Solutions (ACS). Returning investor OMERS Growth Equity led the round, which also included Fidelity Management
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Why Health Plans Must Have Next-Gen CAPS Technology for Digital Transformation
Core Administrative Processing Systems (CAPS) operate as the brains behind a health plan’s business. These systems are critical to the smooth functioning of a health plan. Today, many payers run on decades-old CAPS systems built on legacy technologies. This can be a serious drawback.
Legacy systems may have been efficient based on the technology and best practices of decades past, but have aged beyond their time. They often require an increasing number of workarounds and fixes to try to
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CareMax Acquires Steward Health’s Medicare Value-Based Care Business for $25M
What You Should Know:
- CareMax, a tech-enabled provider of value-based care to seniors announced an agreement to acquire the Medicare value-based care business of Steward Health Care System for a combination of cash and stock.
- CareMax will pay $25 million in cash and issue 23.5 million shares of CareMax’s Class A common stock to the equity holders of Steward at closing, subject to customary adjustments. In addition, CareMax will fund a Medicare receivable to Steward covering accounts
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SnapLogic Launches Amazon HealthLake Accelerator to Store, Share Patient Data
What You Should Know:
- SnapLogic, a provider of Enterprise Automation, today launched the SnapLogic Accelerator for Amazon HealthLake, which enables healthcare and life sciences organizations to easily ingest a range of raw data into Amazon HealthLake, powered by Amazon Web Services (AWS), and transform it into healthcare-related insights and actions.
- This new Amazon HealthLake-dedicated integration and automation accelerator will help organizations looking to quickly connect systems,
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Lightbeam Health Acquires Jvion AI and SDOH Solutions – M&A
What You Should Know:
– Lightbeam Health Solutions, Inc., a provider of population health management solutions and services has entered into an asset purchase agreement to acquire the operating assets related to Jvion, Inc., including Jvion’s market-leading AI-enabled prescriptive analytics and social determinants of health (SDoH) solutions.
-The strategic partnership combines Lightbeam’s health analytics and outcomes for payers and providers with the Jvion’s predictive technology.
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How Patient Movement Benefits from Standardized Acuity Scoring
Nurses and providers typically assess patient acuity and volume at the beginning of their shift, whether formally or informally. Managers use patient acuity to balance nursing assignments, and nursing staff uses it to determine which patient care action should be prioritized next. Taking a standardized approach to acuity assessments not only provides more objectivity, but also gives hospitals the data they need to make a variety of tactical and strategic decisions, from daily unit staffing to
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Olive Partners with Magenta to Revolutionize Risk Adjustment Process
What You Should Know:
- Olive, the automation company creating the Internet of Healthcare, today announced its partnership with Magenta Care Continuum, a HIPAA-compliant health records vault that includes care gap analytics.
- Through the Olive Library, payers and providers can access Magenta's solutions to help close care gaps, improve billing and claims occurrence and ensure compliance and revenue integrity for value-based population management.
Automating the Risk
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Greater Good Health Raises $10M for NP-Centered Primary Care Model
What You Should Know:
- Greater Good Health, the company redefining value-based care through the first primary care model centered around nurse practitioners (NPs) raises $10 million funding round led by LRVHealth, with participation from Martin Ventures, Health Velocity Capital and more.
- Committed to providing NPs with the tools they need to be successful, Greater Good Health offers access to a network of peers, training and development content and personal wellness experiences. The
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Intermountain Partners with VC Firm General Catalyst on Innovation
What You Should Know:
- Intermountain Healthcare announced a strategic partnership with digital health venture capital firm General Catalyst that will involve jointly exploring opportunities to accelerate the shift to value-based care through digital and other solutions.
- As part of the collaboration, Intermountain and General Catalyst will leverage the Health Assurance Network, which is a group of tech innovation companies within General Catalyst’s investment portfolio that are dedicated
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