For the better part of a decade, the shift toward value-based care in the U.S. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI). Working to develop, test and evaluate new payment and delivery models in Medicare, Medicaid and the Children’s Health Insurance Program, CMMI has taken aim at improving the provider experience, generating better patient outcomes and reducing the overall cost of care.
Recently, CMMI stated that by 2030 every Medicare
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Geisinger Taps Cohere Health to Streamline Prior Authorizations
What You Should Know:
- Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for providers.
- Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of business, including
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Leveraging Telemedicine as a Workforce Multiplier for Clinicians
COVID has shown us that telemedicine is effective and easy to use. But why limit the use of virtual care to public health emergencies? With providers and clinicians under increasing strain from staffing gaps and other issues, telemedicine is a valuable solution.
Telemedicine has been a crucial tool in the fight against COVID-19, allowing patients and providers to stay connected even when quarantine rules keep them physically separated.
During the first phase of
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Analysis: How Will The Roadmap for Diagnostic Cardiology Devices Develop?
Like most healthcare markets, the diagnostic cardiology market has had a bumpy ride in recent years. The COVID-19 pandemic saw global revenues for Resting ECG devices increase in 2020, whilst ECG Management Systems, Stress ECG and Traditional Holter ECG solutions saw a market decline. Country lockdowns resulted in reduced cardiology services during the peak of the pandemic, as non-urgent appointments were delayed. 2021 showed relief for cardiac facilities as providers started to deal with the
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What Hospital Success Looks Like Under Value-Based Care
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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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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