In a bid to shift the foundation of healthcare reimbursement, CMS is pushing for significantly more reimbursements for Medicare and Medicaid services to be tied to value-based care (VBC) contracts. To accomplish this, tackling the biggest healthcare cost line items, such as anesthesia, will be at the top of the list.
Additionally, anesthesiology, with its convoluted hospital/practice ties and complex reimbursement process, represents a prime example of the challenges and exponential potential
Read More
Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
20 COVID-19 Predictions and Trends for 2021 – Executive Roundup
Dr. Justin Graham, Chief Medical Officer, GYANT
The rapid development of a COVID-19 vaccine is a monumental achievement, but it does nothing to address our extremely fragmented healthcare system. In 2021, policymakers must create and extend incentives to providers to work together to keep patients healthy rather than maximize profit. The pandemic has devastated the traditional fee-for-service budgets of many healthcare systems, and it isn't clear they will ever be able to catch up without
Read More
12 Telehealth & Virtual Care Predictions and Trends for 2021 Roundup
Dr. Paul Hain, Chief Medical Officer of GoHealth
Telehealth is Here to Stay in 2021
Prior to the pandemic, telehealth was a limited ad-hoc service with geographic and provider restrictions. However, with both the pandemic restrictions on face to face interactions and a relaxation of governmental regulations, telehealth utilization has significantly increased from thousands of visits in a week to well over a million in the Medicare population. What we’ve learned is that telehealth allows
Read More
30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021
As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021.
Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare
Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various institutions, geographies, patient demographics, and medical scanners. The sensitivity and selectivity of these models are outperforming AI models
Read More
Regence, MultiCare Health System to Deploy HL7 Da Vinci Member Attribution List for Value-Based Care Arrangements
What You Should Know:
- Regence and MultiCare ink first-in-the-nation value-based
care partnership to deliver improved health outcomes at lower costs.
Health insurance provider Regence
and MultiCare Health System,
an independent accountable
care organization (ACO) have partnered to deploy a first-in-the-nation value-based model
that delivers better health outcomes to members at lower costs while
simplifying administration for health care providers. Regence serves
approximately 3.1
Read More
Highmark Inks 6-Year Partnership with Google Cloud to Power Living Health Model
What You Should Know:
- Highmark Health signs six-year strategic partnership agreement
with Google Cloud to transform the health experience for patients and
caregivers through the development of Highmark Health's new Living Health
Model
- The Living Health model is designed to eliminate
the fragmentation in health care by re-engineering the healthcare delivery
model with a more coordinated, personalized, technology-enabled experience.
Highmark Health and Google Cloud today announced
Read More
M&A: Cedar Gate Acquires Deerwalk to Enhance Value-Based Care Analytics
What You Should Know:
- Cedar Gate acquires Deerwalk, an innovative population
health management, data management, and healthcare analytics software company
based in Lexington, Massachusetts.
- By acquiring Deerwalk, Cedar Gate expands its
employer-based offerings with the ability to actively engage employers and ASOs
as they manage rising healthcare costs. The combined suite of offerings
improves the patient experience and delivers financial sustainability.
Cedar Gate Technologies
Read More
Despite COVID-19: Providers Should Not Lose Sight of MIPS Compliance
When 2020 began, no one anticipated that complying with the Merit-based Incentive Payment System (MIPS)—the flagship payment model of the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP)—would look so different halfway through the year. Like many other things, the COVID-19 crisis has delayed, diverted, or derailed many organizations’ reporting efforts and capabilities. Lower procedure volumes, new remote work scenarios, and shifting priorities have taken attention
Read More
Cityblock Health Reaches $1B Valuation, Raises $160M to Address Systemic Healthcare Inequity
What You Should Know:
- Cityblock Health, a transformative, value-based healthcare provider focused on improving healthcare outcomes for marginalized communities, today announced a $160M Series C round, bringing its total raised to $300M.
- Cityblock is a care delivery trailblazer working to right the injustices of a healthcare system that cycles vulnerable communities through frequent ER visits and hospital stays. Its tech-enabled model delivers primary care, behavioral care, and social
Read More
Elation Health Nabs $40M for Clinical-First Solution to Power Independent Primary Care
What You Should Know:
- Elation Health, which provides an easy-to-use and affordable clinical technology platform for more than 14,000 independent primary care clinicians serving 7 million patients - including an EHR raises $40M in Series C funding from Al Gore's sustainable investment firm, Generation Investment Management.
- Elation’s API-enabled platform also allows
organizations to transform the patient and provider experience and implement
their own models of data-driven,
Read More
