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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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Applying Social Determinants of Health 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
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
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
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
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
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
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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Why COVID-19 Underscores The Importance of Social Determinants of Health
Google “Social Determinants of Health” and one will quickly discover a kind of litany of data pointing to a certain definition of “health” defined by the World Health Organization (WHO) as “A state of complete physical, mental and social well-being not merely the absence of disease or infirmity,” and socioeconomic barriers, which may prohibit equitable access to good health and wellness (Healthcare) more completely among diverse populations.
Nevertheless, the heart of the matter
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Value-Based Care’s Story Will Turn in the 2020s
Value-based care initiatives matured in recent years thanks to exciting new technology and influential policy changes. But the coming decade will see transformative changes that will eventually lead to a uniform realization of value-based care across the entire healthcare continuum.
Specialty pharmacy represents one area of healthcare that is wholeheartedly welcoming a discussion about value. With the costs of six-figure specialty drugs and the number of patients using them continuing to
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