The answer to solving a healthcare crisis that exacerbates barriers to care among some of the most vulnerable patient populations in the country is staring us in the face. For rural hospitals straining under the weight of erratic patient volumes, sicker populations and lack of funding, the path forward is in value-based care. But providers can’t stand idly by waiting for the government to step in and help them make that change. They need to save themselves.
That may sound like a big lift for
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Zing Health Acquires Medicare Advantage Plan Provider Lasso Healthcare
What You Should Know:
- Zing Health Enterprises, a physician-founded and led provider of Medicare Advantage health plans, has signed definitive documents to acquire Harrisburg, PA-based Lasso Healthcare Insurance Co.
- Lasso Healthcare offers Medicare Advantage (MA) plans in 34 states and the District of Columbia. Its insurance offerings currently cover over 6,000 members. Lasso Healthcare offers a pioneering consumer-directed Medicare Advantage product, called a Medicare Medical Savings
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Eleanor Health Secures $20M for Value-Based Addiction and Mental Health Treatment
What You Should Know:
- Eleanor Health, a Waltham, MA-based outpatient addiction and mental health provider delivering convenient and comprehensive care through a population and value-based payment structure, today announced it has closed an oversubscribed $20M Series B financing. The round included participation from all existing investors including Town Hall Ventures, Echo Health Ventures, and Mosaic Health Solutions, as well as new participation from Warburg Pincus.
- Committed to
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Why Healthcare Data Won’t Magically Create Value-Based Care
The conversation about transitioning the American healthcare system from fee for service (FFS) to value-based care (aka, pay for performance) has been going on for more than 15 years. Still, it felt like time travel to come across a Health Affairs book review from 2006 by the late Princeton Professor Uwe Reinhardt that could have been written last month.
In evaluating what he describes as the “utopian vision” laid out in Michael Porter and Elizabeth Teisberg’s Redefining Health
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Groups Recover Together Nabs $60M for Value-Based Care Platform for Opioid Addiction Treatment
What You Should Know:
- Groups Recover Together (Groups), a national leader in value-based care for opioid addiction treatment, today announced it has raised $60 million in Series C financing. Oak HC/FT led the round, joining existing investors Bessemer Venture Partners, Transformation Capital, RRE Ventures, Optum Ventures and Kaiser Permanente Ventures.
- The latest financing will support the expansion of Groups’ treatment model from locations in 12 states to at least 17 states by the end
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Votive Health Raises $2.5M to Facilitate Payer-Provider Integration through Value-Based Arrangements
What You Should Know:
- Votive Health announced its formal launch following a $2.5 million financing led by Flare Capital Partners with Chrysalis Ventures and OCA Ventures as co-investors.
- Votive Health is a technology enabled network manager delivering complex care at home for people facing serious illness. It was founded by a team of health care insiders who share a passion for solving issues that result from the fragmented health system in the U.S. for patients living with a
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CareCar Raises $3M to Expand Tech-enabled Benefit Manager Platform
What You Should Know:
- CareCar, a tech-enabled benefit manager and value-based healthcare services platform, announced that it has raised $3M in seed funding led by Kapor Capital and Impact America Fund, with Concrete Rose participating as a co-investor.
- CareCar specializes in managing non-emergency medical transportation benefits and in-home care benefits (ADLs, IADLs, Home Assessments & Modifications). The platform automates the logistics, HIT, and UM & QA aspects of
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Why the Digital Front Door is Critical to the Healthcare Revenue Cycle
The COVID-19 crisis has upended many of our traditional business procedures and processes. However, because digital transformations were well underway before the pandemic, the shift to remote work and contactless consumer self-service was swift. In healthcare, digital strategies that were expected to take 10 years to accomplish may now be compressed into three. That acceleration is especially evident with the “digital front door” – a strategy for engaging patients at every major touchpoint of
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3 Strategies to Up-Level Medicare Advantage Enrollment Before it is Too Late
With a new administration looking to reshape healthcare policy and additional special enrollment periods already underway, now is the time to ensure Medicare enrollment systems are ready for the unpredictability, and potential opportunities, ahead. While Medicare is the fastest growing segment of the healthcare industry, it is also highly competitive, expensive to operate in, and riddled with complexities and regulations to navigate. Health plans don’t have room to make a misstep when it comes
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What Will It Take for Hospitals to Survive the Pandemic?
On New Years Eve, just as the Covid-19 outbreak in Los Angeles was at its worst, all 451 of Olympia Medical Center’s exhausted employees learned they would soon lose their jobs. After 74 years, the hospital closed for good on March 31st, leaving residents of the surrounding community — poor and mostly people of color — without a place to see a doctor.
And it isn’t the only hospital closing.
At least 47 hospitals have closed or filed for bankruptcy in the last year, and there will
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