Category: ACOs

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

ACO, ACOs, Medicare, Medicare ACO, medicare shared saving, Shared Savings, shared savings program / October 12, 2021 October 12, 2021

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

Accountable Care Organizations, ACOs, CMS, Daily, data, Health Services, hospitals, News, Physicians, Shared Savings, Study, SYN, Top Story / September 6, 2021 September 6, 2021

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)

Access to Care, ACOs, Care Coordination, Delivery System, Managed Care, Medicaid, Racial Equity and Health Policy / August 5, 2021 August 5, 2021

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

ACOs, Daily, funds, Health IT, IPO, Physicians, Privia Health, SYN, technology, Top Story, Value-Based Care / April 27, 2021 April 27, 2021

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

ACOs, Acute Care, Care Coordination, care management, cloud, Health IT, Healthcare Mergers & Acquisitions, Most Popular, Partners, PatientPing, Payers, Pharmacy, post-acute care, risk / March 23, 2021 March 23, 2021

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 snags $100M to grow Medicare Advantage partnerships, invest in tech

ACOs, Aledade, Daily, funding, Health Tech, Medicare Advantage, News, Physicians, practices, primary care, SYN, technology, Top Story / January 19, 2021 January 19, 2021

The company partners with independent practices, health centers and clinics to establish primary care-focused accountable care organizations.

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

ACO, ACOs, Aledade, Health IT, Hypertension, MD, Medicare, Medicare Advantage, model, Partners, Payers, Physicians, Population Health, primary care, risk, Shared Savings, shared savings program, Startups, Telehealth, Value-Based Care / January 19, 2021 January 19, 2021

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

Accountable Care, ACO, ACOs, cloud, decision support, Health IT, Health Systems, Healthcare Mergers & Acquisitions, Medicaid, Medicare, Medicare Advantage, Partners, Payers, post-acute care, Tissue Analytics, Value-Based Care / January 12, 2021 January 12, 2021

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

ACOs, CMS, Daily, geographic, Health Plans, hospitals, Legal, Medicare, model, News, Payers, payment, providers, region, SYN, Top Story, Value-Based Care / December 9, 2020 December 9, 2020

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

Accountable Care, Accountable Care Organizations, ACOs, Acute Care, behavior, behavioral health, Care Coordination, care teams, cloud, Collective Medical, Health IT, Healthcare Mergers & Acquisitions, home health, Long-Term Care, patient population, point of care, PointClickCare, post-acute care, risk, senior care, Value-Based Care / December 8, 2020 December 8, 2020

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

ACOs, Box, Care Coordination, care teams, CMS, Coronavirus (COVID-19), Electronic Health Record, health information exchange, Healthcare Blockchain, HHS, HIE, HIEs, Meaningful Use, Medicaid, Medicare, Opinion, Partners, Patient Care, Precision Medicine, Precision Medicine Initiative, primary care / December 4, 2020 December 4, 2020

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

ACOs, Acute Care, Care Coordination, care management, care teams, CMS, CMS Innovation Center, Final Rule, home health, Interoperability, Medicaid, Medicare, Opinion, Patient Access, Patient Care, Patient Engagement, patient safety, PatientPing, Physicians, post-acute care, primary care, public health, Telehealth / July 27, 2020 July 27, 2020

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

ACOs, cloud, Health IT, Healthcare Claims, Healthcare Mergers & Acquisitions, integrity, Partners, Revenue Cycle Management, revenue integrity / July 21, 2020 July 21, 2020

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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