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

HealthLynked Acquires Cura Health & ACO Health Partners

by Fred Pennic 02/13/2020 Leave a Comment

Roche Acquires Rest of Foundational Medicine for $2.4B to Enhance Precision Medicine

- HealthLynked acquires Cura Health Management and its wholly-owned subsidiary ACO Health Partners LLC for $1.75M. - The acquisition is expected to contribute approximately $2.25M of revenue and $500k in EBITDA in year one, increasing HealthLynked's consolidated revenues by 47% and reducing the company's current annual cash burn by over 50%.HealthLynked Corp, a nationwide healthcare network focused on care management of its members and a provider of healthcare technologies that connect doctors,
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Cotiviti Launches Longitudinal Data Set in Healthcare

by Jasmine Pennic 02/12/2020 Leave a Comment

Cotiviti Launches Longitudinal Data Set in Healthcare

- Cotiviti has launched Caspian Insights, which represents the most comprehensive data set in healthcare and includes longitudinal data on 40% of Americans. - Unlike other platforms, Caspian unites financial and clinical information with other data types (i.e. social determinants of health, pharmacy, dental, and labs) creating a “single source of truth” never before seen in healthcare to this scale. - By offering an all-encompassing view of each member, Caspian gives health plans and
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Life Image Launches Network Build to Help Providers Build Large-Scale Patient Data Networks

by Jasmine Pennic 02/07/2020 Leave a Comment

Life Image Launches Network Build to Help Providers Build Large-Scale Patient Data Networks

 - Life Image launches Network Build Enterprise Solution to help healthcare organizations establish their own network connections to coordinate care and innovate. - Network Build allows healthcare organizations to create customized medical networks that can handle intensive data (e.g. diagnostic images, pathology, genomics, etc.) critical for advancing medical device development, clinical trials and more.Life Image, the world’s largest medical evidence network for clinical and imaging data,
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PatientPing’s Network of Next Generation ACO Partners Generates Over $150M in Savings

by Jasmine Pennic 02/04/2020 Leave a Comment

PatientPing's Network of Next Generation ACO Partners Generates Over $150M in Savings

PatientPing’s national network of Next Generation Accountable Care Organizations (ACO) partners generated over $150 million in savings under the CMS Next Generation ACO for the year 2018. PatientPing's national network includes thousands of providers across hospitals, health systems, health plans, post-acute, and other entities, all of which are working together to collaborate with one another on their shared patients.PatientPing, a Boston, MA-based care collaboration platform announced that its
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KLAS Names Epic, Pivot Point, Accenture Overall Best in KLAS 2020

by Fred Pennic 01/31/2020 Leave a Comment

Best in KLAS 2020

- Epic was named the top Overall Software Suite for the tenth consecutive year in the Best in KLAS 2020 Software & Services report. - Pivot Point Consulting, a Vaco Company, was named the top Overall IT Services Firm, edging out last year’s winner, Impact Advisors. - Accenture earned the award of top Overall Healthcare Management Consulting Firm.Today, KLAS Research announced released their annual Best in KLAS Software & Services that recognizes the leading vendors for solutions,
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CareMount Health Solutions ACO Generates $779k in Shared Savings

by Jasmine Pennic 01/30/2020 Leave a Comment

CareMount Health Solutions ACO Generates $779k in Shared Savings in 20189

- CareMount Medical’s next-generation ACOs have saved more than $778,582 in shared savings in 2018. CareMount ACO was one of 38 Next Generation ACOs nationally to achieve earned savings for 2018 Performance Year.- In 2019, CMS awarded CareMount Health Solutions ACO, LLC a perfect score of 61 out of 61 points on its Initial Readiness Review (IRR). CMS conducts IRRs for all ACOs entering the Next Generation ACO Model.Chappaqua, NY-based CareMount Medical announces its next-generation ACOs have
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Quartet Health, Blue Cross NC Collaborate on Value-Based Care Payment Model for Mental Health

by Jasmine Pennic 01/28/2020 Leave a Comment

Centene Leads $60M Round for Behavioral Health Platform Quartet

- Mental health technology company Quartet Health announced a new technology that helps install a value-based quality measurement system for mental healthcare. - Achieved in collaboration with Blue Cross of North Carolina -- an insurer known for being on the forefront of improving mental health access and a tech leader -- Quartet and BCNC are introducing it as the market's first and will serve as a framework for all insurer adoption. Quartet Health, an innovative mental healthcare technology,
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Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

by Abhinav Aggarwal, Sr. Director, Encounter Submission and Risk Adjustment Solutions at Edifecs 01/27/2020 Leave a Comment

Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter data is used for payment reimbursement and reconciliation between the health plan and the
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3 Trends Driving Healthcare Mergers & Acquisitions (M&A) Activity in 2020

by Erica Garvin 01/22/2020 Leave a Comment

3 Trends Driving Healthcare Mergers & Acquisitions (M&A) Activity in 2020

Livingstone’s Ryan Buckley shares insights behind the prevalent healthcare M&A trends of 2020 and its impact on U.S healthcare. The New Year often brings with it an essence of transformation. This year, U.S. healthcare’s metamorphosis is now more than a decade old, as it continues to shed its antiquated legacy systems and siloes to embrace a different kind of entity—one that hopes to establish weight in value-based care at a scale robust enough to substantiate it.
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Led by Cigna Ventures, Arcadia Raises $29.5M to Expand Population Health Management Platform

by Jasmine Pennic 01/13/2020 Leave a Comment

Led by Cigna Ventures, Arcadia Raises $29.5M to Expand Population Health Management Platform

- Arcadia, a Boston-based population health management company announces that it has received $29.5 million in Series D funding, led by Cigna Ventures. - Arcadia’s population health management technology platform Arcadia Analytics was purpose-built to support economic success under value-based care.   Population health management technology company Arcadia today announced at the 38th Annual J.P. Morgan Healthcare Conference has closed a fully-subscribed growth equity investment of $29.5M led by
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