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

New Opportunities for Healthcare AI: Decoding the 2026 Medicare Advantage Rate Hike

by David Talby, CEO, John Snow Labs 07/16/2025 Leave a Comment

New Opportunities for Healthcare AI: Decoding the 2026 Medicare Advantage Rate Hike

Last month, the Centers for Medicare & Medicaid Services (CMS) released its 2026 Medicare Advantage (MA) Rate Announcement, projecting a 5.06% average increase in payments to MA plans. That’s a notable jump from the 3.70% increase we saw in 2025. More than just a financial adjustment, this signals growing confidence in the Medicare Advantage model—and with it, growing expectations. What does this mean simply? Insurance companies offering these plans will receive more government funding,
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MedeAnalytics and ZeOmega Partner to Launch Population Health Navigator

by Jasmine Pennic 07/08/2025 Leave a Comment

MedeAnalytics and ZeOmega Partner to Launch Population Health Navigator

What You Should Know:  - MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader, and ZeOmega®, a population health management organization, today announced the co-development of Population Health Navigator (PHN).  - The new solution unites predictive insights with care coordination to power value-based care programs. PHN combines the analytical capabilities of MedeAnalytics' Health Fabric™ with ZeOmega's care management
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Aledade Expands Michigan Footprint with Acquisition of CCA’s Value-Based Care Operations

by Jasmine Pennic 06/25/2025 Leave a Comment

Aledade Expands Michigan Footprint with Acquisition of CCA's Value-Based Care Operations

What You Should Know:  - Aledade, the largest network of independent primary care in the United States, has announced its acquisition of the Michigan-based value-based care operations of CCA Holding Company, Inc.  - The move deepens Aledade’s presence across the state and empowers more physicians to succeed in a healthcare system focused on patient outcomes and quality. Strengthening a Statewide Presence The acquisition includes an Accountable Care Organization (ACO) and a
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Fighting the Chronic Disease Crisis with AI and Value-Based Care

by Joseph Siemienczuk, MD, Medical Advisor for Clinical Solutions at Cedar Gate Technologies 06/10/2025 Leave a Comment

Fighting the Chronic Disease Crisis with AI and Value-Based Care

Poorly managed and uncontrolled chronic diseases are the leading cause of death and disability in the United States, and represent a growing national crisis. Five of the top 10 causes of death – heart disease, cancer, diabetes, obesity, and hypertension – are chronic conditions, or closely linked to preventable and treatable chronic conditions. The prevalence of these diseases has steadily increased over the past two decades. Today, 42% of Americans have two or more chronic conditions, and the
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Lucet Acquires Value-Based Medical Group Emcara Health

by Jasmine Pennic 06/03/2025 Leave a Comment

Lucet Acquires Value-Based Medical Group Emcara Health

What You Should Know:  - Lucet, a behavioral health company providing tech-enabled services to health plans, employers, and providers, today announced its acquisition of Emcara Health (previously PopHealthCare, a GuideWell Company). Financial details of the acquisition were not disclosed.  - Emcara Health is a national, value-based medical group focused on delivering home-based care to clinically complex and high-risk populations. This strategic acquisition is set to address the
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AI Meets Value-Based Care: Cleerly and Cardiac Care Alliance Join Forces

by Jasmine Pennic 05/06/2025 Leave a Comment

What You Should Know:  - Cleerly, a leader in cardiovascular imaging, and Cardiac Care Alliance, a prominent figure in value-based cardiovascular care solutions, today announced a strategic partnership aimed at significantly enhancing cardiovascular care delivery.  - The collaboration will see the integration of Cleerly's advanced AI-powered coronary artery assessment technology into Cardiac Care Alliance's extensive cardiovascular care network. The initiative is set to launch
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Inaccurate Provider Data: The Biggest Obstacle to Value-Based Care

by Eric Demers, CEO of Madaket Health 05/02/2025 Leave a Comment

Just months into office, the new administration is doggedly focused on reducing costs and increasing efficiency and transparency across a swath of functions. However, like many journeys, an emphasis is being placed on the final destination and not on how to navigate the road ahead. Even so, expect value-based care (VBC) to move from the back to the front burner and the heat to get turned up.  VBC is a business model for healthcare in which providers are paid based on the quality of care
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Reveleer Acquires Novillus, Strengthening Value-Based Care Solutions

by Fred Pennic 04/23/2025 Leave a Comment

Reveleer Acquires Novillus, Strengthening Value-Based Care Solutions

What You Should Know:  - Reveleer, a technology platform for value-based care announced its acquisition of Novillus, a company known for its insight-driven care gap management and frictionless provider engagement solutions.  - The strategic acquisition significantly enhances Reveleer's suite of clinical intelligence and quality improvement tools, aiming to empower health plans and providers to collaborate more effectively for improved patient outcomes, stronger regulatory
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AMGA and Wilmington Health Launch AMGA Value Care Network

by Jasmine Pennic 04/18/2025 Leave a Comment

AMGA and Wilmington Health Launch AMGA Value Care Network

What You Should Know:  - The American Medical Group Association (AMGA) and Wilmington Health have announced an exciting new partnership poised to significantly impact the landscape of value-based care in the United States.  - The two organizations are collaborating to establish the AMGA Value Care Network, a strategic initiative with the ambitious goal of empowering healthcare practices nationwide to successfully implement and thrive within Accountable Care Organization (ACO)
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5 Value-Based Care Strategies to Control Patient Care Costs

by Theresa Hush CEO, Co-Founder at Roji Health Intelligence 04/07/2025 Leave a Comment

Theresa Hush CEO, Co-Founder at Roji Health Intelligence

The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a curated value-based care approach. Here are the fundamentals you need to know and five strategic steps to
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