John Muir Health has announced a strategic partnership with UnitedHealth Group’s (UHG) division, Optum to outsource their key non-clinical functions, including information technology, revenue cycle management, analytics, purchasing and claims processing. Through Optum’s operational technologies, analytic solutions and tools, and administrative services expertise, the partnership will ensure John Muir Health further advance its clinical and operational performance. The outsourcing agreement will
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Innovaccer Launches a Single Data System to Empower Medicare Advantage Plans
To assist Medicare Advantage plans in eliminating these complications and achieve the top Star Ratings, Innovaccer Inc., a San Francisco-based data activation company, has strengthened its solution for Medicare Advantage plans. The solution for MA plans is a comprehensive suite of solutions designed to solve all grassroots challenges to empower MA plans to ensure healthier patients and increased profits.Rise in Medicare Advantage EnrollmentThe CMS has projected that Medicare Advantage enrollment
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UCLA Spin Out DEARhealth Lands $6M for AI-Powered Pathways for Chronic Care
DEARhealth, a health IT spin-out
from the University of California, Los Angeles (UCLA) has raised $6.8 million
in Series A funding to expand its AI-powered pathway platform for chronic care.
Participants in the Series A funding round include Philips Health Technology
Ventures, Vesalius Biocapital III and Health Innovations.
DEARhealth was founded in
2011 by Daniel Hommes as a research project when a team of UCLA specialists
designed a value-based care program for the management of chronic
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Why Hospital M&A Activity Must Include Plans for EHR Data Integration
John Walton, a data expert who worked under Ross Perot, shares his insights on how organizations can successfully come together without coming undone.
Data—it’s the thread that promises to tie merging healthcare entities together, but more often than not, it can feel more like the primary source of its unraveling. So why are newly merged and acquired health organizations, particularly hospitals, feeling so threadbare?
Despite the belief that such a move will make data sharing easier, evidence to
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Intermountain Launches Value-based Care Spinout Castell
Intermountain Healthcare has formed a new comprehensive health platform company named Castell that will enable other organizations to accelerate their transition from volume to value-based systems of care, while keeping care more affordable and accessible. Rajesh Shrestha has been named as the president and CEO of Castell. In addition to leading Castell, Shrestha serves as vice president and chief operating officer of Community Based Care for Intermountain Healthcare. He has more than two
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ACO Investment Model Reduced CMS Expenditures by $48M
The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Georgia Hospitals Partner with CarePort to Improve Patient Outcomes
Georgia Hospital Health Services, a subsidiary of the Georgia Hospital Association has selected CarePort Health to provide hospitals across the state with a complete suite of solutions to improve care coordination by educating, guiding and monitoring patients moving across the continuum of care.GHHS formally endorses vendors that bring value to their system and understands the importance of transparency throughout care transitions by providing real-time patient data to improve patient outcomes.
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care
A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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AI in Healthcare: Enhancing Risk Models to Predict the Future Cost of Care
Traditionally, providers and health systems have relied on claims-based risk models, such as the CMS-HCC, ACG, and DxCG, which were built to forecast the risk of populations, but not at an individual level. While these models give a fairly good estimation of the risk of the population, they exhibit unsatisfactory estimation if used to predict the risk at an individual level.Innovaccer Inc., a healthcare data activation company, has taken a major step towards revolutionizing the way we identify
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Analysis: Philips’ Evolution to a Pure-play Healthcare Technology Vendor
The last two-to-three years we have seen Philips complete its transformation into a pure-play healthcare technology vendor. It has reduced its interest in its remaining non-healthcare business Philips Lighting/Signify (now owning only a 16.5% share), made 16 healthcare technology acquisitions since the start of 2017 and organized its internal business units into three core healthcare technology segments, Personal Health, Diagnosis & Treatment and Connected Care. A few weeks ago, several of
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