ACOs

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 …

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Should we do away with ACOs? The answer depends on who you ask  

In a new study, researchers suggest ACOs are not helping CMS save substantial amounts of money as they were expected to do, so the model should be eliminated. But other experts in the industry disagree, taking issue with the study’s methods and conclusions.

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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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, …

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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 …

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