As the COVID-19 pandemic creates surges in acute care, many imaging departments are experiencing a decrease in volume, due to patients deferring or canceling non-urgent appointments and surgeries. The impact of this makes it painfully obvious that -- because imaging departments rely on a fee-for-service model – when the volume is down, finances suffer. As an aspect of healthcare that has historically been hyper-focused on volume, adoption of a value-based care approach in radiology has evolved
Read More
Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members
What You Should Know:
- Humana Inc. and Fresenius Medical Care North America
(FMCNA) today announced an agreement to broaden their collaboration toward
improving the health of eligible Humana Medicare Advantage members
- The
agreement between Humana and Fresenius Medical Care North America goes into
effect Jan. 1, 2021.
Humana Inc. and leading renal care company Fresenius Medical Care North America (FMCNA) announced an agreement to broaden their collaboration toward improving the
Read More
Curation Health Raises Series A Funding for Clinical Decision Support Platform
What You Should Know:
- Curation Health raises an undisclosed Series A round of funding to accelerate the adoption of its advanced clinical decision support platform.
- Curation Health provides an advanced clinical decision
support platform for providers and health plans that aids in managing risk
contracts and improving quality performance.
Curation Health, an Annapolis, MD-based advanced clinical decision support platform for value-based care, today announced the completion of
Read More
Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis
Living through a pandemic is stressful and anxiety-inducing. Stay-at-home measures are compounding this stress, resulting in social isolation and unprecedented economic hardship, including mass layoffs and loss of health coverage. Fully understanding the impact of these pernicious trends on overall mental health will take time. However, precedents like the Great Recession suggest that these trends are likely to worsen the conditions driving suicide and substance-related deaths, the “deaths of
Read More
Value-Based Reimbursement Contracts Now Account for 26% of Hospital Revenue, KLAS Finds
What You Should Know:
- Value-based reimbursement (VBR) contracts now account
for 26% of hospital revenue, according to a new report from KLAS research and
CHIME.
- Report reveals providers are looking first to their
electronic health record (EHR) systems to drive PHM, and are most interested in
investing in new healthcare information technology (HIT) when they know there
is a clear ROI.
With value-based reimbursement (VBR) adoption slowing, healthcare providers are searching
Read More
Molina Healthcare Acquires Affinity Health Plan for $380M
What You Should Know:
- Molina Healthcare acquires New York-based Medicaid managed care organization Affinity Health Plan for $330M in cash serving members in New York City, Westchester, Orange, Nassau, Suffolk, and Rockland counties.
- As of August 31, 2020, Affinity served approximately 284,000 Medicaid members. Affinity’s premium revenue for the trailing twelve months ended July 31, 2020, was approximately $1.3 billion.
- The net purchase price of approximately $380 million
Read More
Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform
What You Should Know:
- NovuHealth and Revel merge to bring together NovuHealth’s
personalized healthcare loyalty programs with Revel’s applied behavioral
research and health action technologies.
- Together, Revel and NovuHealth work with more than 50
healthcare organizations, including seven of the top 10 largest health insurers
in the United States representing more than 65 percent of all members in
government programs such as Medicare and Medicaid.
Revel and NovuHealth, two
Read More
Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly
What You Should Know:
- Independence Blue Cross and Signify Health launches
social determinants of health network, CommunityLink to connect data from multiple
CBOs to integrate social directly into medical care in the Philadelphia area.
- CommunityLink represents one of the first examples
nationwide of combining in-home health with social care.
Independence Blue Cross
(Independence) and Signify Health
announce the launch of CommunityLink™, a social
determinants of health (SDoH)
Read More
The COVID-19 Data Challenges Facing Payers
Both payers and providers can benefit from the same or similar high-quality data and can work together to provide the best possible services to patients with COVID-19 while avoiding overloading the healthcare system. The key is to use combined payer, clinical, and social data plus technology such as telehealth and artificial intelligence (AI).
Payer Perspective on COVID-19
The overriding concern for payers during the COVID-19 crisis is the need to support member health. During an
Read More
Equality Health Launches Social Determinants Program to Tackle Health Disparities
What You Should Know:
- Equality Health launches Social
and Cultural Risk Assessment (SCRA™) program to address social determinants of health
(SDoH)
- With Equality Health’s SCRA program, social determinants act as any other quality metric, with a far less
burdensome reporting process.
Equality Health, a whole-health delivery
system, has pioneered a comprehensive cultural care program that enables
providers to identify and
Read More
