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

Machine Learning Algorithm Can Predict Which Cardiac Patients Are High-Risk Post Discharge

by Fred Pennic 09/04/2019 Leave a Comment

Machine Learning Algorithm Can Predict Which Cardiac Patients Are High-Risk Post Discharge

- New Mayo Clinic peer-reviewed study shows Medial EarlySign’s machine learning algorithm can predict which cardiac patients are at high-risk following discharge. - The analysis was based on electronic health records (EHR), demographics, and social data collected from a cohort of 11,709 unique Mayo Clinic patients who underwent 14,349 PCIs during 14,024 hospital admissions. - The study suggests AI solution can be more effective than traditional models to identify patients at risk of
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Aledade, The Physicians Integrated Network Forms Value-Based Care Collaboration in Greater Philadelphia

by Jasmine Pennic 09/04/2019 Leave a Comment

Aledade ACO

- Aledade ACOs and the Physicians Integrated Network (TPIN) join forces to improve care coordination, quality of care, and patient health outcomes - Under the value-based care agreement, and TPIN’s leading network of independent specialists have agreed to a care compact and intend to explore additional opportunities for clinical collaboration across all payers. - TPIN’s network is made up of 700 physicians practicing in 24 clinical specialties throughout greater Philadelphia, Delaware
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Eden Health Earns NCQA Patient Centered Medical Home Recognition

by Fred Pennic 09/04/2019 Leave a Comment

Eden Health Earns NCQA Patient Centered Medical Home Recognition

- Eden Health earns National Committee for Quality Assurance’s (NCQA) Patient-Centered Medical Home (PCMH) recognition.- PCHM recognition underscores Eden Health’s trailblazing role as a tech-enabled primary care delivery model.- PCMH is widely regarded as the highest quality recognition that exists for primary care.Eden Health, which delivers primary care in the workplace, near the workplace and virtually, announced it has earned the National Committee for Quality Assurance’s (NCQA) Patient
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Innovaccer Unveils Referral Management Solution to Reduce Network Leakage

by Fred Pennic 08/28/2019 Leave a Comment

Innovaccer Unveils Referral Management Solution to Reduce Network Leakage

 Innovaccer Inc., a San Francisco-based healthcare data activation company, today announced the launch of their Referral Management solution. The solution is aimed at assisting healthcare organizations to manage all referrals in one place to minimize network leakage and improve health outcomes.Hospitals Still Lack Defined Communication ChannelsEven after years of investing in value-based care, healthcare still lacks defined communication channels to connect providers and patients. Organizations
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NTT Data, Google Cloud to Develop Healthcare Solutions to Improve Patient Experience

by Jasmine Pennic 08/27/2019 Leave a Comment

NTT Data, Google Cloud to Develop Healthcare Solutions to Improve Patient Experience

NTT DATA Services, a global technology services provider, today announced a collaboration with Google Cloud to develop next-gen healthcare solutions designed to improve patient experience, while creating more efficient operations and reducing costs for providers and health plans.Collaboration DetailsNTT DATA is working with Google Cloud to deliver digital offerings in cloud, analytics and artificial intelligence that enable providers to gain better access to insights and solutions needed to
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Partners HealthCare Transitions to Medicare Shared Savings Program (MSSP)

by Fred Pennic 08/23/2019 Leave a Comment

Partners HealthCare Transitions to Medicare Shared Savings Program (MSSP)

Partners HealthCare has transitioned to a Medicare Shared Savings Program (MSSP) through the Centers for Medicare and Medicaid Services (CMS), from its previous Medicare ACO, the Next Generation Accountable Care model, without disruption to patient care. The Medicare Shared Savings Program (MSSP) is an alternative payment model that promotes accountability for a patient population, coordinates items and services for Medicare fee-for-service beneficiaries, and encourages investment in high
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Signify Health, Remedy Partners Merge to Create Market Leading Value-Based Care Enablement

by Fred Pennic 08/20/2019 Leave a Comment

Signify Health, Remedy Merge to Create Market Leading Value-Based Care Enablement

Signify Health and Remedy Partners have signed a definitive agreement to merge to create a market-leading platform delivering value-based care enablement. Together, Signify Health and Remedy Partners both portfolio companies of New Mountain Capital LLC will leverage clinical, behavioral and social data amidst an accelerating market shift from fee-for-service toward value-based payments and arrangements based on the quality and total cost of care for a patient.Merger Creates Combined Revenue of
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Health2047 Spins Out Zing Health to Offer SDOH-Driven Medicare Advantage Plans

by Fred Pennic 08/20/2019 Leave a Comment

Health2047 Spins Out Zing Health to Offer SDOH-Driven Medicare Advantage Plans

Today Health2047 Inc. is launching Zing Health, community-focused, physician-led Medicare Advantage plan that addresses social determinants of health (SDOH). Co-founded by Health2047 with experienced entrepreneurs Dr. Eric Whitaker and Dr. Ken Alleyne, Zing Health will initially offer a Medicare Advantage plan built around community and member health outcomes to consumers in the Midwest. With significant seed funding, a passionate and seasoned founding team and major market interest in its
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality

by Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive 08/20/2019 Leave a Comment

MACRO

The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment. Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments.  Between the Test Pace option, artificially low bar (3 points) for an upside adjustment, and numerous opportunities to score
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Maine Health, Anthem Form Joint Venture to Offer Medicare Advantage Plans

by Jasmine Pennic 08/19/2019 Leave a Comment

Maine Health, Anthem Form Joint Venture to Offer Medicare Advantage Plans

 Anthem Blue Cross and Blue Shield in Maine and MaineHealth today announced the two organizations will be collaborating on a joint venture to offer Medicare Advantage health insurance plans for 2020 under the Anthem | MaineHealth brand. This joint venture effort, named AMH Health, LLC, will bring together the core strengths of the region’s leading health care system and health insurer, their brand recognition, as well as their expertise in providing a comprehensive approach to care that will
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