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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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
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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Brightside Health Raises $50M for Personalized Anxiety & Depression Care
What You Should Know:
- Today, Brightside Health announced it raised a $50M Series B, led by ACME Capital and Mousse Partners, bringing its total funding to $75M to date.
- The funding will help Brightside expand access to high-quality mental healthcare to more people across the country, enhance the platform, forge new partnerships, and grow as a team, from about 57 now to an expected 175 later this year.
Brightside Health, a telemedicine platform that offers fast access to
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Cityblock Health Names Co-Founder Dr. Toyin Ajayi as CEO
What You Should Know:
- Cityblock Health, a value-based healthcare provider for Medicaid, dually-eligible and lower-income Medicare beneficiaries appoints co-founder Dr. Toyin Ajayi to CEO. Co-founder Iyah Romm is stepping down as CEO but will continue serving as a member of the board.
- Dr. Ajayi most recently served as president, where she oversaw the company's growth and clinical model. As CEO, Toyin will help lead the next stage of Cityblock’s growth and further its vision of an
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Fresenius Health Partners, InterWell Health, and Cricket Health Announce $2.4B Merger
What You Should Know:
- Cricket Health is announcing today that it will merge with Fresenius Health Partners (the value-based care arm of Fresenius), and InterWell Health, to form the nation’s premier, value-based kidney care provider with a totally new model of addressing kidney disease. The new company will operate under the InterWell Health brand and is valued at $2.4B.
- Together, Fresenius Health Partners, InterWell Health, and Cricket Health will drive innovation and industry
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