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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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
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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Unlocking the Potential of Value-Based Care with AI
The momentum of value-based care (VBC) is poised to accelerate. The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research. As more plans, providers and members enter VBC arrangements, substantial volumes of clinical data will need to be managed effectively to oversee patient risk and care quality.
The
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Thyme Care Launches VBC Platform w/ 400+ Oncologists
What You Should Know:
- Thyme Care, a leader in value-based cancer care, has launched Thyme Care Oncology Partners (TCOP), a dedicated platform designed to support oncology practices in the transition to value-based care models.
- Through partnerships with payers and providers, Thyme Care's TCOP platform fosters collaboration and prioritizes patient-centric care while reducing costs. This innovative approach positions Thyme Care as a leader in shaping the future of value-based cancer
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Innovaccer Acquires Pharmacy Quality Solutions to Bolster Value-Based Care Initiatives
What You Should Know:
- Innovaccer, a healthcare IT company, announced today the acquisition of Pharmacy Quality Solutions (PQS), a leader in Pharmacy-Payer performance technology.
- By leveraging PQS's strengths, Innovaccer is poised to play a leading role in shaping the future of value-based care and medication management within the healthcare landscape.
Enhancing Value-Based Care
The acquisition positions Innovaccer to play a more significant role in the transformation of
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Chamber Secures $8M to Empower Cardiologists to Transition into Value-Based Care
What You Should Know:
- Chamber Cardio (Chamber), a groundbreaking healthcare company designed to support cardiologists in the transition to value-based care raises $8M in seed funding led by General Catalyst, with participation from existing investor AlleyCorp and additional support from Company Ventures, American Family Ventures, and City Light.
- By providing technology-enabled support and a deep understanding of value-based care, Chamber empowers cardiologists to deliver high-quality
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Humana & Strive Health Offers Value-Based Kidney Care to More Medicare Advantage Members
What You Should Know:
- Humana Inc. (NYSE: HUM) and kidney care provider Strive Health announced today a new multi-state, value-based care agreement for kidney care to more Medicare Advantage members.
- This expanded value-based kidney care partnership extends access to Strive's innovative kidney care model to Humana Medicare Advantage HMO and PPO plan members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) across five states.
Transforming Kidney Care
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