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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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
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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Welkin Health Appoints Dr. Adrian Rawlinson Chief Medical Officer
What You Should Know:
- Wellkin Health appoints former him and hers executive Dr. Adrian Rawlinson as the company’s new Chief Medical Officer.
- In his new role as Chief Medical Officer. Dr. Rawlinson will focus on establishing a Clinical Advisory Board and Clinical User Group.
Welkin Health, a San Francisco-based digital health company, announced the appointment of Dr. Adrian Rawlinson to the company as Chief Medical Officer. In his role as Chief Medical Officer, Dr.
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b.well Connected Health Raises $16M for Personalized Health Platform
What You Need to Know:
- b.well raises $16 million in Series A funding led by UnityPoint Health Ventures, bringing the company's total funding to over $27 million.
- b.well provides a configurable digital platform to healthcare stakeholders to solve for interoperability and consolidation of point solutions through the lens of a consumer.
b.well Connected
Health, a Baltimore, MD-based platform designed to provide consumers a new
front end to healthcare, announced it has raised $16
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TeraRecon Acquired by SymphonyAI: What is the Impact for Medical Imaging Market?
On the 4th March 2020, TeraRecon announced it had signed an agreement to be acquired by the SymphonyAI Group. Here are the facts of the deal, followed by our take on the potential impact on the medical imaging market:
- The terms of the deal were not disclosed and TeraRecon will continue to operate business as usual. However, it will benefit from greater financial backing and the synergistic technologies from other companies in the Group’s portfolio.
- TeraRecon is an Advanced
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Clarify Health to use LexisNexis Risk Solutions’ Socioeconomic Data
What You Need to Know:
- LexisNexis Risk Solutions, that it has partnered with Clarify Health to evaluate the predictive capability of social determinants of health and clinical data.
- The collaboration’s approach will integrate individual-level SDOH data into Clarify Health’s clinical analytical models to evaluate the quality and efficacy of the data at the point of care to help drive care management decision-making.
- Clarify Health’s analytical models help identify population
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Emory Healthcare, Verizon Opens Nation’s First 5G Healthcare Innovation Lab
- The Verizon 5G Ultra Wideband network is now live at the Emory Healthcare Innovation Hub (EHIH) in Atlanta, becoming the nation’s first 5G healthcare innovation lab.
- The 5G healthcare innovation lab at EHIH will test how 5G could enhance augmented and virtual reality (AR/VR) applications for medical training, enable telemedicine and remote patient monitoring, and provide a point of care diagnostic and imaging systems from the ambulance to the ER.
- Verizon joins EHIH’s partner
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