Healthcare companies continue to implement value-based care and population health management initiatives to coordinate healthcare delivery and improve the quality and value of patient care. These initiatives depend on the ability to access, aggregate, and analyze massive amounts of patient data, often coming from hundreds of source systems. Critical system interoperability and data-sharing agreements enable healthcare organizations to aggregate data and build massive data assets to support their
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Finetuning Quality Measure Reporting to Perform Like Professional Athletes
Healthcare organizations deal with a seemingly endless list of demands, including expanding access to care, financial sustainability, staffing shortages, rigorous data security, government regulations and quality improvement initiatives. Many organizations can operate at full speed and still find they cannot keep up with all the demands. Quality programs facilitated by CMS and commercial health plans provide critical funding to support healthcare operations. They require diligent data
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As CMS Delays CHART, Rural Providers Need to Take Value-Based Care into Their Own Hands
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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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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