Now that we’re halfway through 2024, we’ve gained significant insights into the most pressing healthcare issues facing our industry and how they might shape the future. From regulatory hurdles to technological advancements, our sector is at a pivotal juncture, and understanding these dynamics will be crucial for all stakeholders involved.
Here are some of these key challenges and explore the strategies that could help guide us through the rest of the year.
Challenges on the Horizon:
Read More
Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Humana, Interwell Health Expand Value-Based Kidney Care Agreement to Florida
What You Should Know:
- Humana Inc., a health and well-being company, and kidney care management company Interwell Health are expanding their value-based care agreement to include Florida.
- The expansion will provide eligible Humana Medicare Advantage members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Florida with access to Interwell’s comprehensive care and specialized resources.
Value-Based Care for Improved Outcomes
Value-based
Read More
Harnessing AI to Navigate the Shifting Landscape of Member Engagement
The healthcare landscape continues to evolve rapidly, driven by advancements in technology and the ongoing shift towards alternative payment models. As payers navigate this increasingly complex environment, member engagement has emerged as a critical factor in ensuring the success of healthcare initiatives. Now, with the emergence of artificial intelligence (AI) in healthcare and value-based care, understanding and prioritizing member engagement has become more important than ever.
Patient
Read More
The Imperative to Stay the Course on Value-Based Transformation
Is value-based care still the right strategy to reduce U.S. healthcare costs? Or is it time to move to what comes next in the generation-long battle to constrain total medical spending?
The question is being increasingly asked and with good reason. For 2024 medical costs are projected to rise 7.0% year over year for Individual and Group markets. That is greater than the medical cost trend in 2022 and 2023, which was 5.5% and 6.0%, respectively, and adds to a decade-plus of at least 5.5% per
Read More
Centering The Patient in Value-Based Care Benefits
Forty years ago, at the height of the AIDS epidemic, HIV researchers and physicians discovered that simply treating the symptoms of the disease was not enough to provide lasting improvement for patients. Other factors like unstable living conditions, drug use, the public stigma over AIDS and HIV – known today as social determinants of health – all require attention in addition to a traditional treatment plan. This holistic view of the patient and caring for their symptoms, treatments, and the
Read More
Netsmart Acquires HealthPivots to Enhance Post-Acute Care Solutions
What You Should Know:
- Netsmart, a provider of healthcare technology solutions announced the acquisition of HealthPivots, a market intelligence company specializing in post-acute care.
- The combination of etsmart's CareFabric® platform with HealthPivots' DataLab will create a powerful solution to help post-acute care providers transition to value-based care.
Addressing the Growing Need for Value-Based Care
As healthcare organizations move towards value-based care models,
Read More
Pearl Health Teams Up with PraxisCare and Adaugeo for Value-Based Care
What You Should Know:
- Pearl Health, a technology company focused on physician enablement in value-based care, today announced a strategic partnership with PraxisCare and Adaugeo Healthcare Solutions. The collaboration aims to expand access to value-based care services for patients across multiple Medicare Accountable Care Organizations (ACOs).
- By combining Pearl Health's technology platform with the operational expertise of PraxisCare and Adaugeo Healthcare Solutions, the
Read More
CenterWell Expands Senior Care Footprint with 23 Walmart Locations
What You Should Know:
- CenterWell, Humana’s health care services business, announced plans to open 23 senior-focused primary care centers in Walmart Supercenters across Florida, Georgia, Missouri, and Texas. This strategic move aims to enhance access to specialized care for seniors in these communities.
- CenterWell’s model emphasizes value-based care, focusing on patient outcomes rather than fee-for-service. The company accepts Medicare Advantage plans and Original Medicare,
Read More
Astrana Health and Elation Health Partner to Build Value-Based ACOs, CINs
What You Should Know:
- Astrana Health (NASDAQ: ASTH), a provider-centric healthcare company, today announced a strategic partnership with Elation Health, a clinical-first technology company specializing in primary care.
- The partnership focuses on supporting independent physicians by providing them with the tools necessary to thrive in value-based care arrangements. Astrana and Elation plan to establish risk-bearing entities, such as accountable care organizations (ACOs) and
Read More
Thyme Care Secures $95M to Expand Value-Based Cancer Care Platform
What You Should Know:
- Thyme Care, a leading value-based cancer care enabler raises $95M in funding capital led by Concord Health Partners, with participation from existing investors including CVS Health® Ventures, Town Hall Ventures, a16z Bio + Health, AlleyCorp, Echo Health Ventures, Foresite Capital, and new investor SignalFire. The funding brings Thyme Care's total funding to $178M.
- Thyme Care is a value-based cancer care enabler focused on improving patient outcomes and
Read More
