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

Predictive Analytics: Preventing the Aftershocks from COVID-19

by Victor A. Collymore, MD, FACP, VP and Chief Medical Officer at EXL Service 06/19/2020 Leave a Comment

Preventing the Aftershocks from COVID-19

Right now, the world’s attention is focused on COVID-19.  This is most appropriate as it has hit the world like a global earthquake, disrupting lives on an unprecedented scale.  However, there will come a day when the immediate danger has passed. At that point, it’s very likely that the healthcare system will begin to feel the significant aftershocks of COVID-19 in the form of neglected chronic condition management throughout the pandemic.  The Centers for Disease Control
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Unite Us Acquires SDoH Data Analytics Company Staple Health to Expand Capabilities

by Fred Pennic 06/16/2020 Leave a Comment

Unite Us Acquires SDoH Data Analytics Company Staple Health to Expand Data Analytics

What You Should Know: - Unite Us acquires social determinants of health (SDoH) analytics company Staple Health to greatly expand its valuable predictive data analytics capabilities. - Predictive analytics and outcome data are essential as Unite Us supports local communities, addressing needs and providing proactive social care infrastructure where it is lacking. - The acquisition of Staple Health brings 10 years of data experience and a database of 270M individuals, with notable
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The New Normal: Rethinking Healthcare Delivery in a Post-COVID World

by Mansoor Khan, Sc.D., co-founder and CEO of Persivia 06/11/2020 Leave a Comment

The New Normal: Rethinking Healthcare Delivery in a Post-COVID World

It’s becoming clearer that, while we are all hoping that things are going to go back to the way things were at the beginning of the year, the COVID-19 crisis will result in a new normal. That’s especially true in healthcare, due to four issues that are being wildly amplified by the COVID-19 crisis. Namely:  1. The US government has huge deficits, and healthcare is a major driver of the unsustainable increase in these deficits. 2. Addressing the demand for healthcare as a right (not a
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Applying Social Determinants of Health to Improve Care Coordination

by Allie Freed, Consultant, Freed Associates 05/26/2020 Leave a Comment

Applying Social Determinants to Improve Care Coordination

In today’s era of value-based care, providers must focus more than ever on ensuring that patients get the care they need, when they need it, across the entire care continuum, including in non-traditional health care settings. This is important not only as it relates to patient outcomes, but also to providers’ bottom lines. However, when patients lack access to basic care-centric needs like proper housing, food, transportation, and a support system, they’re unable to get the right type of care
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COVID-19 Crisis Makes Complying with Data Interoperability a Priority

by Jay Sultan, VP of Healthcare Innovation & Strategy at Cognizant. 05/07/2020 Leave a Comment

Why the COVID-19 Crisis Makes Complying with Interoperability a Priority

With healthcare organizations focused on battling COVID-19, the recent federal healthcare regulation requiring data interoperability may have become an afterthought. However, compliance with this rule will create a powerful tool for fighting COVID-19 recurrences and future pandemics.  If interoperability had gone into effect earlier this year as originally scheduled, many insurance companies and the federal government would now be able to securely share the data they have for most of the
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Proteus Digital Health Launches Tennessee Medicaid Outcomes-Based Initiative

by Jasmine Pennic 05/05/2020 Leave a Comment

Proteus Digital Health launches a multi-year, Medicaid outcomes-based initiative with the state of Tennessee’s Medicaid program, TennCare.

What You Should Know: - Proteus Digital Health launches a multi-year, Medicaid outcomes-based initiative with the state of Tennessee’s Medicaid program, TennCare.  - The Proteus initiative allows TennCare to continue strengthening its Hepatitis C treatment efforts through an innovative, value-based care outcomes approach. Proteus Digital Health®, Inc. announced today a multi-year, outcomes-based initiative with the state of Tennessee’s Medicaid program, TennCare. Building
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Arcadia Acquires Selected Assets of Massachusetts eHealth Collaborative

by Jasmine Pennic 04/30/2020 Leave a Comment

Arcadia Acquires Selected Assets of Massachusetts eHealth Collaborative

What You Should Know: - Arcadia acquires selected assets of Massachusetts eHealth Collaborative (MAeHC), a non-profit services firm delivering strategic guidance, project management, data warehousing and analytics services, and hands-on implementation support. - The acquisition enhances Arcadia’s capabilities in the areas of strategic guidance, project management, data warehousing, and analytics services, and hands-on implementation support to help providers improve clinical and
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How AI-Driven Insight Could Fuel Medicare Advantage Success

by Our Thought Leaders 04/22/2020 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Medicare Advantage plans need more than consumer-centric design, payer/provider alignment, and strong connections across the continuum of care to drive value. The high-value performance also depends on their ability to use data to make a meaningful difference in members’ health. With 11,000 people aging into Medicare daily, proficiency in managing Medicare Advantage populations is critical for demonstrating value in a competitive market. Enrollment in these plans is growing significantly,
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The Technological Ironies of the Current State of Value-Based Care

by Kevin Hutchinson, CEO, Apervita 04/21/2020 Leave a Comment

The Technological Ironies of the Current State of Value-Based Care

Even though many think of 2008 as the first time CMS began emphasizing quality over quantity via the Medicare Improvements for Patients and Providers Act (MIPPA), the truth is that we’ve been on a 30-plus-year journey to get to this point. It really started when managed care became a hot trend, but eventually, the friction between payers and providers was too high and patients were caught in the middle. Then came accountable care, which while still important today, ultimately isn’t creating
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Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs

by Jasmine Pennic 04/20/2020 Leave a Comment

Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs

What You Should Know: - Aledade raises $64M in Series C funding led by OMERS Growth Equity to expand its national network of more than 500 physician-driven accountable care organizations (ACOs) across 27 states. - To date, Aledade’s ACOs care for more than 840,000 patients and manage more than $7.5 billion in health care spending through 38 Medicare and 42 other value-based contracts. Today, Aledade announced it has closed a $64 million Series C funding round following the
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