For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes.
One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Innovaccer Launches Patient-Centered Medical Homes (PCMH) Solution
- Innovaccer launches Patient-Centered Medical Homes (PCMH) solution aimed at assisting organizations as they embark on the journey of delivering patient-centric, cost-effective care by transitioning into a PCMH and advancing primary care.
- With PCMH Pre-validation from the NCQA, Innovaccer provides over 40% of the total credits needed for certification.
- The solution saves providers from the trouble of navigating through EHRs and Excel sheets with automated care delivery support at
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Why the Healthcare CIO Holds the Greatest Potential for Change
Consumers expect every brand interaction they have, whether at the doctor’s office or with their health insurer, to mirror the ones they have with companies like Amazon and Google: personalized, connected, and convenient. The healthcare industry, however, isn’t nearly ready to deliver on these connected experiences — not while data remains siloed across departments and organizations.
The need for interoperability — getting discrete systems and software applications to connect, exchange, and
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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
- 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
- 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
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
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)
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
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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