GlobalHealth, an Oklahoma-based health maintenance organization, today announced it has entered into a definitive agreement to create a partnership in the Medicare Advantage (MA) plan marketplace with Evolent Health, a company providing an integrated value-based care platform to the nation's leading providers and payers. Together, both companies will launch and scale MA health plans under the True Health brand in targeted geographies. True Health Medicare Advantage (MA) Marketplace DetailsThe
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Blue Cross Blue Shield Institute Launches Program to Address Social Determinants of Health at The Community Level
Blue Cross Blue Shield Institute is teaming up with Solera Health to launch a new program to effectively address social determinants of health (SDOH) at the community level. The national roll-out of the program expected to launch in Q2 2019 will focus on the unique environmental and cultural influences and barriers to successfully coordinating regional SDOH resources at scale.Reaching Beyond Population HealthBy tailoring local SDOH resource recommendations to directly align with individual
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Current State of Value-based Care in Oncology: 13 Key Trends to Know
New data on the state of value-based care in oncology has found that while community oncologists are optimistic about the beneficial potential of value-based care, they see a conflict between the need to decrease episode costs and the rising prices of the most innovative novel therapies. In an effort to dig deeper into current attitudes toward new value-based reimbursement models and novel therapies in cancer care, Integra Connect surveyed leaders and decision-makers in oncology practices.
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Chilmark: 2019 Healthcare Provider Analytics Market Trends Report
Healthcare providers are recognizing the value of increasing volumes of data they hold and expanding their use of mainstream and advanced analytics solutions to more use cases and more user groups
Vendor analytics and reporting solutions are rapidly evolving to serve provider needs for enterprise performance management (EPM), according to Chilmark's latest report. While value-based care (VBC) initiatives remain the driving business reason for analytics adoption, leading healthcare organizations
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Stanford Health Taps Lumeris to Optimize Medicare Advantage Plan
Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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Why AI-Enabled EHRs & Telemedicine is Transforming Behavioral Health
Behavioral healthcare is on the precipice of an exciting new frontier. While the sector has been slow to adopt major tech innovations, emerging tools are ushering in unique advantages that allow providers to maximize profit, advance their sector and improve care for patients more than ever before.As a CEO working within the tech and revenue cycle management industries, I listen to the concerns of both insurance companies and healthcare providers to identify trends in behavioral healthcare every
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3 Principles to Value-based Care Contracting Arrangements for Behavioral Health
It’s long past time for the U.S. health system to improve care for our behavioral health patient population.With every headline about our country’s mental health crisis or opioid crisis, this painful reality becomes more apparent – and as time passes, more expensive. At $201 billion annually, mental disorders top the list of the most costly conditions in the U.S., according to Health Affairs. The economic toll of the opiate crisis alone has exceeded $1 trillion since 2001, according to research
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Report: Revolutionizing Healthcare with Augmented Intelligence and Social Determinants of Health
New Innovaccer research report applies machine learning algorithms to 55+ factors to deliver one of the most accurate views ever for social determinants of healthUS clinicians are at a critical juncture, newly responsible for both the quality and value of care and expected to have a deeper understanding of their patients’ risk factors. The health impacts of the environment in which patients live affect their health and these health impacts need to be documented and studied properly.According to
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Value Exchange: The Solution to Patient Fatigue?
Living with a rare disease can be exhausting. Symptoms, limitations, and medications are all obvious contributors, but there is another, less obvious challenge to living with a rare disease: the experience of simply being a patient.Patients, especially those with rare and complex diseases, are required to be their own health historians to manage and track all of their health needs and keep documents and paperwork up to date. They are also asked to fill out the same forms repeatedly – the same
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Survey: Executives Predict Accelerated Shift to Value-based Payments in 2019
According to a recent Lumeris-sponsored survey, forty-six percent of healthcare executives believe their organization’s pace of change toward value-based payment is moving quickly or very quickly, up 14 points from Q2 2018. Additionally, sixty-two percent of health systems indicated that they plan to assume additional risk in the next 12 months. Of these, ACOs (46%), Medicare Advantage (31%), and bundled payments (23%) were common methods for increased risk assumption. The Lumeris-sponsored
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