What You Should Know: - Aledade is continuing its strong momentum today, announcing that Cigna Healthcare Medicare Advantage customers can now receive value-based care from Aledade’s network of independent primary care practices. - Participating practices can access Aledade’s cutting-edge data analytics, user-friendly guided workflows, and health care policy expertise, as well as integrated care services supported by AledadeCare Solutions. - This news comes shortly after Aledade
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Cigna
KLAS: 340B 2023 – Functionality & Pricing Drive Purchase Decisions
What You Should Know: - Purchasing energy in the 340B market has been high in recent years as (1) healthcare organizations have sought to increase savings, particularly in cost centers like pharmacies, and (2) 340B vendors have expanded the types of customers they serve, according to a recent KLAS report. - This new report examines 49 recent purchase decisions validated by KLAS between October 2020 and October 2022 to understand why certain vendors are seeing the most purchase energy and
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ReKlame Health Joins Cigna In-Network, Reducing Psychiatric Care Barriers for BIPOC Communities
What You Should Know: - ReKlame Health, a provider of culturally competent, affordable and empathetic behavioral healthcare for BIPOC communities, announced that it has joined Cigna as an in-network mental healthcare provider in New York, New Jersey, and Florida. - ReKlame is now in-network with all of the nation’s leading insurance plans, including Optum, United Healthcare, Blue Cross Blue Shield, Aetna, Oxford and Oscar. The Black-founded and Black-led company brings high-quality
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Ushur Lands $50M for Customer Experience Automation Platform
View ClaimsView Claim What You Should Know: - Ushur, the leader in AI-powered Customer Experience Automation™ (CXA), has raised a $50M Series C funding round led by Third Point Ventures with participation from existing investors Iron Pillar, 8VC, Aflac Ventures and Pentland Ventures. The company plans to use the funding to expand Ushur’s experience automation portfolio, developing new innovations in AI and moving into new regions and industry verticals. Healthcare Automation
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5 Executives Share Their Behavioral Health Predictions for 2023
As the start of the new year kicks off, we asked 5 healthcare executives to share their top predictions and trends for 2023. Dr. Yusuf Sherwani, Co-Founder and CEO of Quit Genius Employers will expand SUD treatment for employees: For example, Cigna more than doubled Evernorth’s Behavioral Health Network in recent months, and employers are now the ones driving demand for better behavioral health benefits for their employees. Employees with substance use disorder have become a financial
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Paytient Raises $63M to Expand Health Payment Accounts (HPAs)
What You Should Know: - Paytient, the creator and leading provider of Health Payment Accounts (HPAs), today announced a $40.5M Series B funding round, bringing the company’s total funding to $63M. The funds, consisting of $33M in equity from new and existing investors and $7.5M in debt from Silicon Valley Bank, will be used to scale growth and product development in 2023 and beyond. - The round was led by Utah-based growth fund Mercato Partners Traverse Fund, with participation from
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Monogram Health Secures $375M to Expand In-Home Kidney Care
What You Should Know: - Monogram Health, a Nashville, TN-based kidney disease benefit management and care delivery company announced a $375M growth funding round that will drive the company’s continued rapid expansion as the leading solution for high-quality, in-home care for polychronic patients living with chronic kidney and end-stage renal disease in the U.S. - Investors in the round include CVS Health, Cigna, Humana, Memorial Hermann Health System, SCAN, TPG Capital, Frist Cressey
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PwC’s Health Services 2023 Deals Outlook – Volume Remains Resilient Against Headwinds
What You Should Know: - While megadeals, trading multiples and overall deal values in the health services sector have not been immune to interest rate hikes and recessionary fears, PwC’s 2023 Health Services Deals Outlook report released recently forecasts a strong year ahead. - Increasing transaction volumes and players embracing value-based care—coupled with large levels of corporate cash and private equity dry powder—are leading to continued expansion for deal volumes in 2023. Trends
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To Truly Address Behavioral Health Worker Shortages, We Need Telemedicine
In late September, the Senate Finance Committee released a bipartisan discussion draft bill that aims to address the nation’s crippling behavioral healthcare crisis by providing funding for 4,000 Medicare Graduate Medical Education psychiatry residencies over the next decade. Four thousand more psychiatrists are certainly a step in the right direction, but there is still much work to be done in light of projections that we will be short between 14,280
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Walgreens-Backed VillageMD to Acquire Summit Health for $9B
What You Should Know: Primary care provider, VillageMD has entered a definitive agreement to acquire Summit Health-CityMD, a provider of primary, specialty and urgent care in a blockbuster M&A deal valued at $8.9 billion with investments from Walgreens Boots Alliance (WBA). The combined company will create a multi-payor platform to deliver quality, affordable care for all patients and will enhance WBA’s robust portfolio of leading, integrated healthcare offerings across the care
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