Value-Based Care

Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment

  • by

What You Should Know: – Cohere Health partners with health insurer Humana to modernize the prior authorization process for musculoskeletal treatment across 12 states. – In addition, the company has closed an additional $10M in funding led by Flare Capital Partners and Define Venture, bringing… Read More »Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment

5 Trends Driving The Future of Healthcare Real Estate in 2020 & Beyond

  • by

The COVID-19 pandemic has forever changed patient expectations for healthcare delivery, including offered services and health office operations. Although health systems have remained dynamic in adopting telehealth capabilities, their long-term capital, like real estate and supply chain management (SCM) protocols, have not adapted to match… Read More »5 Trends Driving The Future of Healthcare Real Estate in 2020 & Beyond

Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

  • by

What You Should Know: – Humana Inc. and Fresenius Medical Care North America (FMCNA) today announced an agreement to broaden their collaboration toward improving the health of eligible Humana Medicare Advantage members – The agreement between Humana and Fresenius Medical Care North America goes into… Read More »Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis

  • by

Victor Siclovan, Director of Medicaid Transformation Project at AVIA Living through a pandemic is stressful and anxiety-inducing. Stay-at-home measures are compounding this stress, resulting in social isolation and unprecedented economic hardship, including mass layoffs and loss of health coverage. Fully understanding the impact of these… Read More »Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis

Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

  • by

What You Should Know: – NovuHealth and Revel merge to bring together NovuHealth’s personalized healthcare loyalty programs with Revel’s applied behavioral research and health action technologies.  – Together, Revel and NovuHealth work with more than 50 healthcare organizations, including seven of the top 10 largest… Read More »Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly

  • by

What You Should Know: – Independence Blue Cross and Signify Health launches social determinants of health network, CommunityLink to connect data from multiple CBOs to integrate social directly into medical care in the Philadelphia area. – CommunityLink represents one of the first examples nationwide of… Read More »Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly

Report: Modern Revenue Integrity Solutions Driving Payment Performance

  • by

What You Should Know: – New Chilmark Research report on revenue integrity in healthcare reveals a transitional market making strides to address the new burdens of modern care economics. – The ongoing COVID-19 public health emergency underscores the imperative need for automation and reduced administrative costs even… Read More »Report: Modern Revenue Integrity Solutions Driving Payment Performance

What would post-Covid value-based care look like?

  • by

As virtual care is only going to grow in the coming months as a solution to pent-up demand for care that has resulted from the pandemic, focused attention is needed to address these operational and reimbursement issues.

COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

  • by

Irv Lichtenwald, President & CEO of Medsphere Systems Corporation In the late 1940s, the United Kingdom was busily reassembling country and what remained of the empire in the aftermath of World War II. Among many revelations, the war had convinced Britain’s leaders of the need… Read More »COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

Primary care startup Oak Street Health goes public for $328M

  • by

Oak Street Health, which operates primary care centers for Medicare patients, went public on Thursday for $328 million. Its capitation payment model has helped the company continue on where many clinics have struggled during the Covid-19 pandemic.

W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities

  • by

What You Should Know: – W2O announced today the acquisition of Discern Health, a leading healthcare consultancy based in Washington, DC, and Baltimore, to strengthen its strategic capabilities in assisting clients with critical healthcare policy trends and value-based reimbursement models. – Discern Health brings experts with… Read More »W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities

Holon Integrates with Cerner’s HealtheIntent PHM Platform for Value-Based Care Insights

  • by

What You Should Know: – Holon and Cerner announced a partnership to advance the delivery of relevant patient insights to providers when they need it most.  – Holon and Cerner will deploy patented technology that automatically delivers contextually relevant patient information from Cerner’s HealtheIntent® population health platform, which is EHR-agnostic, directly to clinicians… Read More »Holon Integrates with Cerner’s HealtheIntent PHM Platform for Value-Based Care Insights

Cohere Health Launches with $10M to Increase Transparency Across Care Journey

  • by

What You Should Know: – Boston-based health IT start-up Cohere Health announced the official launch of its company with a $10 million Series A funding round led by Flare Capital Partners. – The company’s patient journey-focused platform improves the notoriously difficult prior authorization process and… Read More »Cohere Health Launches with $10M to Increase Transparency Across Care Journey

Oak Street Health files for IPO

  • by

Oak Street Health, a Chicago-based company that operates primary care centers for Medicare patients, filed initial IPO paperwork on Friday. The company has not yet priced the offering, but it plans to use the proceeds to repay a loan and grow its business.