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

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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Healthcare Landscape 2023: Navigating the Shifting Sands of Physician Collectives, Reimbursement Rates, and Regulatory Ripples

by Nathaniel Arana, CEO at NGA Healthcare 11/20/2023 Leave a Comment

Healthcare in Flux: Navigating the Pivotal Year of 2023

In the vast tapestry of the healthcare industry, certain years stand out as watershed moments. The year 2023 is shaping up to be one such pivotal year, marked by profound shifts and emerging trends. Rise of the Physician Collectives One significant transformation I've keenly observed is the enhanced stature and influence of small to medium-sized physician collectives. Historically relegated to the sidelines, these groups have now carved out a pivotal role for themselves. Why this sudden
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Mobile Pay Revolutionizes Specialty Groups: Unlock the Data-Driven Potential

by Janet Carbary, CFO of Integrated Rehab Group, 11/20/2023 Leave a Comment

Mobile Pay Revolutionizes Specialty Groups: Unlock the Data-Driven Potential

It’s no surprise that healthcare is doubling down on software investments for healthcare revenue cycle, including software with an AI component, like predictive analytics. What’s unique is that right-now value from AI in revenue cycle is happening outside the walls of a healthcare facility or medical practice. In fact, it’s originating from the device patients use most: their smartphone. For specialty groups in particular, the ability to successfully engage patients in their financial
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Providence Pioneers Data Sharing for Value-Based Care with HL7® Da Vinci Clinical Data Exchange

by Fred Pennic 11/14/2023 Leave a Comment

Providence Pioneers Data Sharing for Value-Based Care with HL7® Da Vinci Clinical Data Exchange

What You Should Know: - Providence has become the first health system in the United States to develop a data-as-a-service (DaaS) product driven by HL7 Fast Healthcare Interoperability Resources (FHIR). - This product facilitates the exchange of clinical data between providers and payers, aiming to standardize clinical data across the system. Barriers to Data Exchange Traditionally, one of the most significant barriers to seamless clinical data exchange has been the lack of
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Wysa’s AI-Powered Mental Health Platform Now Available at FQHC

by Fred Pennic 11/13/2023 Leave a Comment

Wysa's AI-Powered Mental Health Platform Now Available at FQHC

What You Should Know: - Wysa, an AI-guided mental health platform, has partnered with MyCHN, a Federally Qualified Health Center (FQHC) with 14 locations throughout Texas. - Wysa's integrated solution will now offer continuous and accessible mental health care support across the care journey for patients and providers. - Wysa's partnership with MyCHN follows recent launches with three leading orthopedic hospitals: the Living Well Center of Washington University at St. Louis, the
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