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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Hospitals Show Signs of Recovery, But Growth Strategies Crucial for 2024 Success

by Fred Pennic 01/10/2024 Leave a Comment

Hospitals Show Signs of Recovery, But Growth Strategies Crucial for 2024 Success

What You Should Know: - A glimmer of hope shines through for hospitals, according to November data from Kaufman Hall's National Hospital Flash Report points to ongoing stabilization and even growth. - While the scars of the pandemic and economic challenges remain, key indicators suggest gradual recovery, with operating margins edging up and revenue streams climbing. Margins on the Rise, Though Gap Between Performers Persists The median calendar year-to-date operating margin index for
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The Potential of Generative AI for Value-Based Care

by Rahul Sharma, CEO of HSBlox 01/08/2024 Leave a Comment

The Potential of Generative AI for Value-Based Care

The value-based care market is projected to grow to $174 billion by 2032, according to a MarketResearch.biz report released recently. As the march to VBC accelerates, there are operational, financial, data complexity/accessibility, and technology-related challenges that need to be overcome to implement value-based programs and to scale them for mass adoption. Existing medical data is not fully exploited for analytics and risk score computation because of three main reasons: Unstructured
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Advanced Analytics Can Change the Game for Consumer Healthcare Services

by Sean Crandell. SVP of Healthcare Economics at MultiPlan 01/05/2024 Leave a Comment

Advanced Analytics Can Change the Game for Consumer Healthcare Services

Data has become the lifeblood of healthcare, making it possible to gain granular insights that enable more effective and precise patient-centric care. Yet, we have just scratched the surface of data analytics’ potential impact on optimizing segments of healthcare that need it most, such as the surging arena of consumer health.  Of the four key types of data analytics – descriptive, diagnostic, predictive, and prescriptive – only the first two are effectively used in managing healthcare
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Arbital Health Acquires Actuarial Firm & Secures $10M for Value-Based Care Adjudication

by Fred Pennic 01/04/2024 Leave a Comment

Arbital Health Acquires Actuarial Firm & Secures $10M for Value-Based Care Adjudication

What You Should Know: - Arbital Health, a rising star in the value-based care space, announced a significant double play today, acquiring leading actuarial firm Santa Barbara Actuaries and securing $10 million in Series A funding led by Transformation Capital. - This strategic move positions Arbital Health as a major player in accelerating the healthcare industry's transition to a more outcome-driven model. Building the Infrastructure for Value-Based Care Founded in November 2023 by
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Credo Health Secures $5.25M to Revolutionize Value-Based Care with AI-Powered Platform

by Fred Pennic 01/04/2024 Leave a Comment

Credo Health Secures $5.25M to Revolutionize Value-Based Care with AI-Powered Platform

What You Should Know: - Credo Health, a game-changer in value-based care technology, has secured $5.25M in Series Seed funding, led by FCA Venture Partners with strong participation from existing investors Hannah Grey VC, FirstMile Ventures, and SpringTime Ventures. This significant investment fuels Credo's mission to become the definitive platform for value-based care providers, empowering them to thrive in the evolving healthcare landscape. Bridging the Data Gap Credo Health's core
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FQHCs Shine in Value-Based Care: MHN Partners Achieve $10M Savings and Perfect Quality Score

by Fred Pennic 12/22/2023 Leave a Comment

What You Should Know: - Medical Home Network (MHN), a leading care enablement partner for FQHCs, announced that its partners participating in the NeueHealth Premier ACO achieved $10.1 million in gross savings and a perfect 100% quality score in the 2022 performance year. - This accomplishment, under the ACO Realizing Equity, Access, and Community Health (REACH) Model, involved 20 FQHCs across Ohio, Missouri, and Illinois serving approximately 10,000 Medicare beneficiaries. The success
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Guidehealth Acquires MSO & VBC Services Division from Arcadia

by Fred Pennic 12/21/2023 Leave a Comment

Guidehealth Acquires MSO & VBC Services Division from Arcadia

What You Should Know: - Guidehealth, an AI-powered healthcare platform announced the acquisition of an industry-acclaimed managed services organization (MSO) and Value-Based Care Services division from Arcadia, a healthcare technology leader known for its powerful data platform. - Additionally, Guidehealth secured a technology agreement to leverage Arcadia's advanced analytics platform, further fueling its newly acquired offering. Acquisition Impact This acquisition and partnership
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KAID Health Secures $9M to Drive AI-Driven Healthcare Efficiency

by Fred Pennic 12/19/2023 Leave a Comment

What You Should Know: - KAID Health, the AI-powered healthcare solutions pioneer, has secured a significant $9 million in funding led by Activate Venture Partners, Martinson Ventures, Boston Millennia Partners, and Brandon Hull, alongside KAID Health's Board of Directors. - With this new funding, KAID Health plans to expand its reach to more providers and their payer partners and develop new service offerings. Unlocking the Power of Whole Chart Analysis KAID Health's flagship platform, Whole Chart Analysis, leverages cutting-edge natural language processing (NLP) to unlock the true potential of electronic medical records (EMRs). Unlike traditional NLP solutions that focus on specific data points, KAID Health goes beyond, analyzing every available piece of information within a patient's chart, including notes, conditions, medications, and lab results. This comprehensive approach enables: • Improved coding accuracy and capture: KAID Health demonstrably boosts coding accuracy, ensuring providers receive proper financial compensation while improving data-driven decision-making. • Streamlined quality reporting: Effortlessly fulfilling complex quality reporting requirements, freeing up valuable time for clinicians. • Enhanced care management: KAID Health identifies key patient needs, facilitating proactive care interventions and optimizing clinical outcomes. Real-World Impact, Proven Results KAID Health's impact extends beyond theoretical promises. To date, the platform has already: • Revolutionized Medicare Advantage coding for large provider groups nationwide. • Simplified chart review for prior authorization and clinical trial enrollment. • Outperformed physicians in identifying surgical risks at a major medical center. "KAID Health continues to deploy technology that makes clinicians more efficient, translates that efficiency into more cost-effective care, and grows revenues," explained Kevin Agatstein, CEO of KAID Health. "By combining best-in-class, scalable, flexible, secure technology with deep clinical workflow and market expertise, we can partner with each customer to meet their informatics needs while alleviating chronic staff shortages."

What You Should Know: - KAID Health, the AI-powered healthcare solutions pioneer, has secured a significant $9 million in funding led by Activate Venture Partners, Martinson Ventures, Boston Millennia Partners, and Brandon Hull, alongside KAID Health's Board of Directors. - With this new funding, KAID Health plans to expand its reach to more providers and their payer partners and develop new service offerings. Unlocking the Power of Whole Chart Analysis KAID Health's flagship
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MedeAnalytics Partners with HSBlox to Power Value-Based Care

by Jasmine Pennic 12/12/2023 Leave a Comment

MedeAnalytics Partners with HSBlox to Power Value-Based Care

What You Should Know: - MedeAnalytics and HSBlox have announced a strategic partnership to offer healthcare organizations a comprehensive end-to-end value-based care solution. - This collaboration combines MedeAnalytics's best-in-class analytics platform with HSBlox's technology platform for contract management and administration. Maximizing Value-Based Care Performance Integrating HSBlox into the MedeAnalytics ecosystem ensures coordinated and aligned activities supporting
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Arcadia Partners with WellSpan Health to Supercharge Value-Based Care Journey

by Jasmine Pennic 12/12/2023 Leave a Comment

Arcadia Partners with WellSpan Health to Supercharge Value-Based Care Journey

What You Should Know: - Arcadia (arcadia.io), a data platform for healthcare, today announced a partnership with WellSpan Health to improve the Pennsylvania health system's performance in Medicare's Shared Savings Program. - This strategic partnership aims to leverage Arcadia's data analytics platform to connect WellSpan Health's 220 patient care locations and provide actionable insights that support the healthcare network's value-based care journey. Improving WellSpan Health’s
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