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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Curation Health Raises Series A Funding for Clinical Decision Support Platform

by Jasmine Pennic 10/06/2020 Leave a Comment

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
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Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis

by Victor Siclovan, Director on the Medicaid Transformation Project at AVIA 10/05/2020 Leave a Comment

digital behavioral health and 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
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Value-Based Reimbursement Contracts Now Account for 26% of Hospital Revenue, KLAS Finds

by Fred Pennic 10/02/2020 Leave a Comment

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
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Molina Healthcare Acquires Affinity Health Plan for $380M

by Jasmine Pennic 10/01/2020 Leave a Comment

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
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Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

by Fred Pennic 10/01/2020 Leave a Comment

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
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Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly

by Jasmine Pennic 09/30/2020 Leave a Comment

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)
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The COVID-19 Data Challenges Facing Payers

by Dr. Chris Hobson, Chief Medical Officer, Orion Health 09/24/2020 Leave a Comment

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
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Equality Health Launches Social Determinants Program to Tackle Health Disparities

by Jasmine Pennic 09/10/2020 Leave a Comment

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
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After COVID-19, Healthcare’s Next Big Challenge: Reforming Surgery

by Dr. Tamir Wolf, CEO and co-founder, Theator 09/10/2020 Leave a Comment

After COVID-19, the Healthcare System’s Next Big Challenge: Reforming Surgery

Nearly six months after the World Health Organization declared COVID-19 a global pandemic, many hard-hit healthcare systems have begun resuming elective surgeries and redeploying surgeons, residents, and fellows back to their home departments after enlisting them in COVID wards and ICUs. These practitioners are returning physically exhausted and emotionally strained from the harrowing experience of serving on the front lines of the COVID response. Meanwhile, they have also seen their training
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Walmart, Oak Street Health to Launch 3 Health Clinics in Dallas-Fort Worth Area

by Jasmine Pennic 09/04/2020 Leave a Comment

Walmart Health Taps Zotec Partners to Power Patient Financial Experience

What You Should Know: - Walmart and Oak Street Health ink a partnership to launch three joint health clinics in the Dallas-Forth Worth, TX area this year. - Each clinic will offer value-based primary care and urgent care services with a focus on adults on Medicare. Retail leader Walmart announced a partnership with Oak Street Health, a value-based primary care network for adults on Medicare to launch three joint health clinics the Dallas-Forth Worth, TX area. The new Oak Street
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