The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries.
The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment
What You Should Know:
- Cohere Health partners with health insurer Humana to modernize
the prior authorization process for musculoskeletal treatment across 12 states.
- In addition, the company has closed an additional $10M
in funding led by Flare Capital Partners and Define Venture, bringing the
company’s total funding to $20M.
Health insurer Humana has signed an agreement with healthcare collaboration company Cohere Health to improve the prior authorization process for
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5 Trends Driving The Future of Healthcare Real Estate in 2020 & Beyond
The COVID-19 pandemic has forever changed patient expectations for healthcare delivery, including offered services and health office operations. Although health systems have remained dynamic in adopting telehealth capabilities, their long-term capital, like real estate and supply chain management (SCM) protocols, have not adapted to match these expectations. Health systems must be aware of current trends in both areas to inform their future decisions.
Divesting in healthcare real estate
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Patient Leakage & Keepage: State of the Industry Report
What You
Should Know:
- “The Patient Keepage & Leakage Report” offers an in-depth, state of the industry look at health system executives’ views on the challenge of patient leakage, in which patients seek care beyond their networks. Although 96% of health system execs surveyed said that addressing patient leakage is a top priority, very little research had been done on this topic—until now. - The report, conducted by an independent market research firm, includes responses from a random
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WellSky Acquires CarePort Health from Allscripts for $1.35B
What You Should Know:
- Health technology leader WellSky has agreed to acquire
CarePort Health to power coordinated care transitions for acute and post-acute
care patients for $1.35B.
- By providing end-to-end visibility across the
continuum, WellSky and CarePort can improve outcomes, lower costs, and increase
patient satisfaction.
WellSky, a global health, and community care technology company, announced today that it has entered into a definitive agreement with Allscripts to
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Thriving in a Value-Based Care Environment: Impacting Outcome-to-Cost Ratio
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
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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
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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
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
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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