Category: ACO

  • TytoCare & Carilion Clinic Partner to Expand Telehealth Offerings

    What You Should Know: – TytoCare has partnered with Carilion Clinic, a not-for-profit health care organization serving Virginia’s Blue Ridge and Southwest Virginia regions. – The integration of TytoCare into Carilion’s current virtual care offerings enhances the health system’s ability to diagnose and treat patients remotely with in-depth, physical examinations during virtual visits. Shortage of Primary Care Physicians in Rural Communities Rural […]

  • 3 Senior Living Providers Merge to Form Curana Health

    What You Should Know: – Three leading organizations that provide healthcare services to senior living communities – Elite Patient Care, Provider Health Services, and AllyAlign Health – have joined forces to form Curana Health. Curana Health’s mission is to improve the health, happiness, and dignity of senior living residents. The Curana Health ACO is a value-based […]

  • Vytalize Health Raises $50M for Value-Based Care Platform for Seniors

    What You Should Know: – Vytalize Health raises over $50 million to advance its value-based care platform for seniors helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. – Led by Enhanced Healthcare Partners, the financing round signals an enormous opportunity for Vytalize Health to accelerate the adoption of […]

  • Signify Health Acquires Caravan Health, Forming Largest Networks of At-Risk Providers

    What You Should Know: – Today, Signify Health announced it has reached an agreement to acquire Caravan Health, a leader in enabling accountable care organizations (ACOs) to succeed in value-based care payment. Together, the companies form one of the largest networks of at-risk providers in the U.S.  – Together, Signify Health and Caravan Health will be better positioned to […]

  • Why Value-Based Care Requires Value-Based Administration

    Rahul Sharma, Chief Executive Officer at HSBlox Lynn Carroll, Chief Operations Officer at  HSBlox Value-based care (VBC) is finally gaining steam among healthcare organizations as executives look to implement processes that boost patient outcomes and rein in elevated levels of spending. To that end, more than 90% of health system executives say they expect VBC contracts […]

  • Bamboo Health ACOs Generate $1B+ in Medicare Shared Savings Program

    What You Should Know:  – Following the National Association of Accountable Care Organizations (ACOs) announcement of 2020 data detailing the Medicare Shared Savings Program (MSSP), Medicare’s largest alternative payment model, Bamboo Health, formerly Appriss Health and PatientPing, announced its national network of ACOs generated over $1 billion in total shared savings.  – Bamboo Health’s ACO […]

  • Akron Children’s, CareSource to launch ACO

    Dubbed the Akron Children’s Health Collaborative, the pediatric ACO will focus on improving care for the approximately 100,000 children in Ohio covered by Medicaid whose benefits are managed by CareSource.

  • Humana Acquires Integrated Post-Acute Care Provider onehome – M&A

    What You Should Know: – Humana Inc. announced that it has signed a definitive agreement to acquire integrated post-acute care provider One Homecare Solutions (“onehome”) from WayPoint Capital Partners (WayPoint), the private equity affiliate of a New York-based family investment office. – The acquisition will further advance Humana’s strategy to build a value-based home health […]

  • Elevate Health Taps Innovaccer to Redefine Its Care Management Model – PHM

    What You Should Know: – Elevate Health, a Washington-based nonprofit Accountable Community for Health (ACH) organization, has partnered with us to leverage the Innovaccer Health Cloud to strengthen care management and improve patient outcomes. It was challenged to integrate data from disparate sources and close gaps for hundreds of patient records. – With the Innovaccer Health Cloud, Elevate Health saved $6M […]

  • CMS’ Next Generation ACO Model to end this year

    In a move that ACOs found “disappointing,” CMS has declined to extend the Next Generation ACO Model beyond 2021. Though evaluations have found that the model did not generate net savings for Medicare, proponents argue that the program was successful.

  • Vytalize Health Acquires Patient Financial Experience Platform MedPilot

    What You Should Know: – Vytalize Health acquires patient financial experience platform MedPilot to accelerate data-driven engagement technology to its ACO’s Medicare population. – An alumnus of the Cedars-Sinai Accelerator, MedPilot’s platform has already helped over 1 million patients to date and boasts a 97% patient satisfaction score.   Vytalize Health, a leading provider of value-based […]

  • Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

    What You Should Know: – Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan.   – MMM is Puerto Rico’s largest MA plan and one […]

  • Why CMS Will Lead the 2021 Kidney Care Revolution

    Chris Riopelle, CEO of Strive Health After an unprecedented year, kidney care providers, including nephrologists, dialysis facilities, and care extenders are expecting 2021 to follow suit. We will see an overhaul in reimbursement and major industry shifts, partly led by CMS, that will require providers to advance their capabilities in a way that will usher […]

  • Aledade Secures $100M for Value-Based Primary Care, Reaching $2.1B Valuation

    What You Should Know: – Aledade raises $100 Million in Series D funding to help more primary care practices thrive in value-based care. – The new funding will power the growth of a nationwide network of more than one million patients by further expanding into Medicare Advantage Contracts. Aledade, a Bethesda, MD-based provider of value-based […]

  • Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

    What You Should Know: –  Net Health acquires post-acute market analytics platform PointRight to deepen the company’s analytics capabilities, post-acute presence, and support for SNF networks. Net Health, a provider of cloud-based software for specialty medical providers across the continuum of care, today announced that it has acquired PointRight Inc., a leading provider of analytics […]

  • Regence, MultiCare Health System to Deploy HL7 Da Vinci Member Attribution List for Value-Based Care Arrangements

    What You Should Know: – Regence and MultiCare ink first-in-the-nation value-based care partnership to deliver improved health outcomes at lower costs. Health insurance provider Regence and MultiCare Health System, an independent accountable care organization (ACO) have partnered to deploy a first-in-the-nation value-based model that delivers better health outcomes to members at lower costs while simplifying […]

  • Recent Executive Hires: CVS Health New President, Cleveland Clinic/Amwell Joint Venture Leadership, Others

    Neela Montgomery, EVP & President at CVS Pharmacy/Retail CVS Health Corporation names Neela Montgomery Executive Vice President and President of CVS Pharmacy/Retail, effective November 30, 2020. Montgomery will oversee the company’s 10,000 pharmacies across the United States. Montgomery, currently a Board Partner at venture capital firm Greycroft, most recently served as chief executive officer of […]

  • CMS Direct Contracting Model Options for Value-Based Care

    Vanessa Kuhn, Director of Health Policy, PatientPing The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries. The goal of the new model is to create the next generation of risk-sharing […]