Post-acute care facilities for years have been preparing for the impact that value-based purchasing (VBP) programs would have.
The Affordable Care Act of 2010 (ACA) and the Medicare Access and CHIP Reauthorization Act of 2015 put providers on notice that quality of care measures, like reducing hospital readmissions and improving patient outcomes, would take precedence over fee-for-service models.
In 2024, the stakes have gotten much higher for post-acute care facilities. Understanding
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
3 Pitfalls Hindering Your Success in Value-Based Care–and How To Avoid Them
Practicing healthcare is challenging, especially for those in patient-facing roles. Clinicians understandably prefer to focus more on delivering patient care and less on the administrative work that can come at the expense of face time with their patients. If you ask me, the root of the burnout in our healthcare system isn’t the large daily volume of patients—it’s the administrative tasks required for every patient. Even when organizations do a great job of streamlining internal workflows, each
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Tuesday Health Launches Supportive Care Solution with $60M
What You Should Know:
- Tuesday Health, a leader in value-based care for the seriously ill, has launched its innovative supportive care solution with $60M in partnership with Valtruis, Blue Venture Fund, Mass General Brigham Ventures, and CareSource.
- Tuesday Health's mission is to make the end-of-life journey clearer and more supportive for patients and families. With this significant investment and a committed team, they are well-positioned to achieve their goals and
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Cityblock, Sunshine Health Partner to Deliver Care to Florida Medicaid Members in Central Florida
What You Should Know:
- Cityblock, a value-based healthcare provider specializing in Medicaid, announced a new partnership with Sunshine Health, a Florida managed care plan. This collaboration aims to provide high-quality primary care and care coordination services to Medicaid beneficiaries with complex needs in Central Florida.
- The partnership expands Centene Corporation's, Sunshine Health's parent company, existing relationship with Cityblock. Cityblock has already established
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M&A: Aledade Acquires Michigan’s Medical Advantage
What You Should Know:
- Aledade, the nation's leading network of independent primary care practices, announced today the acquisition of Michigan-based Medical Advantage.
- This strategic acquisition further solidifies Aledade's position as the preeminent Accountable Care Organization (ACO) network and a driving force in value-based care.
Expanding Physician Partnerships in Michigan
The acquisition significantly expands Aledade's network in Michigan, bringing the number of
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Reduce Medical Costs by 5.3%: Active Member Engagement for Employers
Employers incur approximately $575 billion each year due to their employees’ poor health, and the number of employees who spend at least $100,000 a year on medical care rose by 50% between 2013 and 2021., Much of these costs are driven by fragmented care, improper benefits utilization, and poor health literacy.
Today, members have greater choices regarding where they receive their care. In a single year, they may use an urgent care center, a pharmacy clinic, a retail clinic, a specialist, and
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Lumeris Secures $100M to Expand Proven Value-Based Care Solutions
What You Should Know:
- St. Louis-based, privately held Lumeris announced the completion of a $100M equity capital raise.
- The funding round was led by Deerfield Management, a longstanding lender, and new investor Endeavor Health. Existing investors Kleiner Perkins, Sandbox Industries, BlueCross BlueShield Venture Partners and JDLinx
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inVio Health Network and CVS Accountable Care Partner to Improve Medicare Patient Care in South Carolina
What You Should Know:
- inVio Health Network and CVS Accountable Care Organization, a division of CVS Health, have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. This initiative focuses on improving access to high-quality healthcare for traditional Medicare beneficiaries in South Carolina.
- The collaboration builds upon the past achievements of Prisma Health Upstate and Prisma Health Midlands Networks, which merged in
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Conduce Health Secures $3M for Multi-Specialty Value-Based Care Marketplace
What You Should Know:
- Conduce Health, a healthcare technology company focused on value-based care raises $3M in seed funding led by Connecticut Innovations with participation from AlleyCorp and CityLight.
- With a network of over 150 specialists, Conduce provides a centralized platform for managing specialty care risk, optimizing contracting, and utilizing data science to deliver the right care at the right time.
The Problem: Disconnected Care for Complex Conditions
Value-based
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Closing Care Gaps Through Prospective Risk Adjustment
The lack of a complete and comprehensive patient record limits the ability of the physician to improve care and puts organizations at financial and regulatory risk. The Centers for Medicare and Medicaid Services (CMS) estimated that for payment year 2018 alone, it will recover $428.4 million (net) and $4.7 billion from 2023 through 2032, including extrapolation effects. The HHS Office of Inspector General (OIG) recently reported that, from October 2014 through December 2016, 153 audit reports
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