Category: ACOs

  • Analysis: Is Oracle Cerner Planning to Build A National EHR?

    Earlier this month Oracle closed its $28.3B acquisition of Cerner and shortly after Oracle founder and CTO, Larry Ellison, outlined Oracle’s vision for Healthcare IT post-acquisition. The key elements of this vision included:   – Developing a solution for a national EHR database.  – Leveraging this solution, and similar smaller-scale connected EHR initiatives, to provide life […]

  • The No Surprises Act: How Payers Can Stay Compliant

    Michael Gardner, Chief Strategy Officer at Virsys12 As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a topic discussed by consumers and policymakers. Surprise billing can occur when a patient unknowingly receives care from providers that are outside their network. This can result in balance billing, the […]

  • Interoperability: A Powerful Solution to Staffing Challenges Continues to be Overlooked

    Cynthia Morton, Executive Vice President for the National Association for the Support of Long-Term Care (NASL) Therasa Bell. Co-founder, President, and Chief Technology Officer at Kno2 (Boise) In our ever-changing world, clinicians nowadays must find more efficient ways to operate with fewer resources. Increased patient loads, reimbursement changes, rule and regulation adjustments and thin margins, […]

  • Forge Health Secures $11M for Value-Based Behavioral Health Model

    What You Should Know: – Forge Health, a White Plains, NY-based behavioral healthcare provider with a proven, national-payer-validated ability to drive clinical outcomes that span all areas of health, today announced an $11M growth funding round led by HC9 Ventures. – Innovative behavioral health company works with payers and health systems to enable value-based care […]

  • KHN’s ‘What the Health?’: Funding for the Next Pandemic

    Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you listen to podcasts. President Joe Biden released his budget proposal for 2023 this week, and it calls for a nearly 27% increase in funding for the Department of Health and […]

  • Aledade: Mandy Cohen joins, Farzad speaks

    Aledade is the “build an ACO out of small independent primary care practices” company. It was founded by former ONC Director Farzad Mostashari and has been growing fast and profitably in the last few years, having raised just shy of $300m. Farzad recently both tweeted out the latest and put up a slide deck about […]

  • 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 […]

  • Medicaid Authorities and Options to Address Social Determinants of Health (SDOH)

    Extensive research and the pandemic have elevated the importance of addressing social determinants of health (SDOH) to improve health and reduce longstanding disparities in health and health care. Social determinants of health include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social support networks, as well as access to health care. This […]

  • Privia Health launches IPO, aims to raise up to $370M

    The physician practice management company launched its IPO through which it plans to sell 19.5 million shares of common stock, priced between $17 and $19 per share. It will use the proceeds for general corporate purposes, like research and development, and to acquire complementary businesses or technologies.

  • Apriss Health Acquires Care Coordination Platform PatientPing

    What You Should Know: PatientPing, a comprehensive care collaboration platform, today announced that it has entered into a definitive agreement to acquire Appriss Health, a cloud-based care coordination software and analytics solutions focused on behavioral health and substance use disorder. – Together, PatientPing and Appriss, backed by Clearlake Capital Group, L.P. and Insight Partners, will represent the largest and most diverse care […]

  • 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 […]

  • CMS’ new Geo care delivery model: 5 things to know

    The new Geographic Direct Contracting Model aims to improve quality of care and slash costs for Medicare beneficiaries across an entire region. It involves setting up risk-sharing arrangements where participants will be responsible for the total cost of care for beneficiaries in the region.

  • PointClickCare Acquires Collective Medical for $650M to Create to Largest Combined Acute and Post-Acute Care Network

    What You Should Know: – PointClickCare announces its intent to acquire Collective Medical to create the largest combined acute and post-acute care network in North America for $650M. – Collective Medical’s platform connects more than 1,300 hospitals, thousands of ambulatory practices and long-term post-acute care (LTPAC) providers, as well as accountable care organizations (ACOs) and […]

  • 5 Myth-Busting New Hospital ADT Notification Requirements

     Claudia Williams, CEO of Manifest MedEx When doctors know their patients have been to the hospital, they can act fast to provide needed support. Widespread use of hospital event notifications is associated with all kinds of health benefits, including a 10 percent decrease in readmissions for Medicare beneficiaries. These event notifications are one of the […]

  • How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

    Jay Desai, CEO & Co-Founder, PatientPing As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves.  During this period, sharing real-time information about patients’ care encounters across provider types and care settings matter more than ever. In particular, hospitals sharing admission, […]

  • HealthEdge Software Acquires Payment Integrity Solution The Burgess Group

    What You Should Know: – HealthEdge Software announces the acquisition of The Burgess Group, LLC (“Burgess”), an innovative payment integrity software company focused on improving healthcare payment operations for an undisclosed sum. – The strategic acquisition will boost Health Edge’s position in the payment integrity market and extends best-in-class claims processing to include software-driven payment […]