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
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
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
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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,
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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
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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,
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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
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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
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Guidehealth, Story Health Partner to Deliver Value-Based Cardiology Care
What You Should Know:
- Guidehealth, an AI-powered healthcare services company, and Story Health, a digital health leader in specialty care delivery, have joined forces to offer a comprehensive cardiology care program for health systems and clinically integrated networks (CINs).
- By leveraging their combined expertise, Guidehealth and Story Health aim to revolutionize cardiology care, leading to better outcomes for patients and a more cost-effective healthcare system.
Focus
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Alliance Health, Cityblock Partner to Deliver Integrated Care for Medicaid Members in North Carolina
What You Should Know:
- Alliance Health, a managed care organization serving over 137,000 Medicaid beneficiaries in North Carolina, announced a new partnership with Cityblock, a value-based healthcare provider for Medicaid and dually eligible individuals.
- The strategic collaboration aims to improve access to comprehensive, integrated medical and behavioral health care for members with serious mental illness and/or substance use disorder.
Serving the Most
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Cano Health Emerges from Chapter 11, Focused on Florida Market
What You Should Know:
- Cano Health, a value-based primary care provider, announced today that it has successfully exited Chapter 11 bankruptcy as a reorganized private company.
- The emergence follows a strategic restructuring aimed at improving the company's financial health and optimizing operations.
Key Achievements of the Restructuring
Debt Reduction: Cano Health significantly reduced its debt burden by converting over $1 billion of pre-bankruptcy debt into common
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