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

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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Anthem Expands Access to Primary Care in Virginia Through Collaboration with Aledade

by Jasmine Pennic 11/30/2023 Leave a Comment

Anthem Expands Access to Primary Care in Virginia Through Collaboration with Aledade

What You Should Know: - Anthem Blue Cross and Blue Shield in Virginia and Aledade, the nation’s largest network of independent primary care, today announced an expansion of their collaboration to provide more Virginians with access to high-quality primary care. - The expanded strategic partnership will impact more than 80 practices, 15 health centers, and 25 rural health clinics across Virginia and covers Medicare Advantage, commercially insured, or Medicaid members. - Aledade is
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The Path to Value-Based Care Through Patient Engagement

by Joy Avery, MSN, RN, SVP, Clinical Strategy and Donna Pritchard, DNP, FNP-BC, MSN, RN, VP, Clinical Services, CipherHealth 11/28/2023 Leave a Comment

The Path to Value-Based Care Through Patient Engagement

The transformation of the healthcare landscape is undeniable. With the industry moving toward value-based care, the emphasis has shifted from volume of services to the actual value or outcome of care delivered. And while value-based care holds providers more accountable for results, it also grants resources and time to provide better, more patient-centric care.  But even years into the shift, there remains no comprehensive guidebook for success. While providers are rewarded for higher
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