What You Should Know:

–              Innovaccer, a leading healthcare technology company, today announced its collaboration with Kaiser Permanente, America’s leading healthcare provider and nonprofit health plan.

–              Kaiser Permanente will implement Innovaccer’s Healthcare AI Platform to support value-based care initiatives. 

Empowering Healthcare Innovation: Innovaccer’s Expansion into Kaiser Permanente and California PHM Initiative

The integration of Innovaccer into Kaiser Permanente’s integrated healthcare system is commencing with its Washington market. This initial rollout is scheduled for completion this summer, with plans for potential expansion into other Kaiser Permanente markets and subsidiaries thereafter. This collaboration involves implementing Innovaccer’s Healthcare AI Platform alongside its population health management solutions within Kaiser Permanente’s Washington market, which serves approximately 650,000 members.

Additionally, Innovaccer has been recently chosen as the preferred platform to support the California PHM Initiative. This initiative, a joint effort between Community Health Centers, Regional Associations of California, California Primary Care Association, Department of Health Care Services, and Kaiser Permanente, is utilizing Innovaccer’s AI platform for healthcare to consolidate and standardize data for improved health equity and community well-being.

Innovaccer serves as the foundational data platform driving healthcare innovation through advanced AI technologies. Its AI-powered healthcare platform seamlessly integrates patient data from various systems and care settings, empowering healthcare organizations with modern, scalable applications that enhance clinical, financial, operational, and experiential outcomes.

“Kaiser Permanente has had incredible success with its value-based care delivery model through its best-in-class operating practices,” said Abhinav Shashank, cofounder and CEO of Innovaccer. “With Innovaccer’s AI platform, Kaiser Permanente will be able to provide an EHR- and payer-agnostic platform to advance their value-based care expertise, technology, and services.”

What You Should Know: 

– Innovaccer, a leader in healthcare data activation, has unveiled the Healthcare Experience Platform (HXP), a comprehensive AI-powered solution designed to boost patient engagement and accelerate revenue growth for healthcare providers. 

– This announcement follows Innovaccer’s acquisition of Cured, a strategic move to propel innovation in patient experiences and outcomes.

HXP: A Data-Driven Approach to Modern Healthcare Experiences

The HXP integrates various vital components to deliver a modern, data-driven approach to patient experiences. It leverages:

• Comprehensive Healthcare Data: The platform incorporates clinical, demographic, financial, and engagement data to create a holistic view of each patient.
• Omnichannel Communication: Patients can connect seamlessly through their preferred channels, ensuring effective communication.
• Robust AI and Analytics: Artificial intelligence personalizes experiences, automates tasks, and generates valuable insights.

HXP Capabilities: Empowering Patients and Providers

The HXP offers a range of features designed to benefit both patients and providers:

• Consumer Data Platform (CDP): This unifies patient data from various sources, enabling targeted and personalized experiences.
• Patient Journey Management: Leverage 80+ pre-built patient journeys and AI-powered multi-channel campaigns to guide patients seamlessly through their care journey, enhancing the overall healthcare experience.
• AI-powered Contact Center: Improve patient access and operational efficiency with features like automated appointment scheduling, first-call resolution, and proactive identification of care gaps – all powered by AI.
• Market Intelligence: Gain strategic and financial insights to stay ahead of the curve. Identify growth opportunities, optimize referral patterns, and make data-driven decisions that maximize ROI.
• AI-powered Propensity Modeling: Target the right patients with the right interventions. Propensity models identify patients most likely to benefit from specific services, improving conversion rates, ROI, and patient satisfaction.

What You Should Know:

– Innovaccer Inc., a data platform company, has announced the launch of its AI Advisory Board. This strategic move underscores Innovaccer’s commitment to harnessing the power of Artificial Intelligence (AI) to revolutionize healthcare delivery.

– The board comprises renowned industry leaders with expertise in technology, healthcare policy, and venture capital.

Guiding Innovation for Better Patient Care

The AI Advisory Board will offer invaluable guidance to Innovaccer’s executive team and customers. Their focus lies on ensuring that AI-driven strategies, particularly those leveraging conversational AI and generative pre-trained transformers, contribute to achieving the quintuple aim:

• Improved health outcomes
• Enhanced health equity
• Reduced healthcare costs
• Elevated care experiences for both patients and providers

Advisory Board Members: Powerhouse of Expertise

Each member brings a unique and powerful skillset to the table:

• Rohini Kosoglu: A seasoned policy advisor with a proven track record of driving change in healthcare and technology policy. Her experience as a partner at a healthcare-focused VC firm and a policy fellow at Stanford HAI provides a unique perspective on AI’s role in shaping the future of healthcare.
• Dheeraj Pandey: A leading voice in AI and technology, Pandey offers financial acumen and deep understanding of the tech landscape. He believes AI has the potential to bring a more human touch to patient care.
• Mike Abbott: A veteran of the tech industry with experience in cloud computing, security, and networking. He brings a wealth of knowledge from companies like Apple, Twitter, and Microsoft.
• Alex Gorelik: An expert in data lakes, Hadoop, and data integration, Gorelik emphasizes the importance of data quality and accessibility for maximizing the value of AI in healthcare.

“The healthcare industry is going through a transformation and AI will play a pivotal role in this,” said Abhinav Shashank, cofounder and CEO of Innovaccer. “From curbing skyrocketing costs to improving efficiencies and clinical outcomes, the potential is extraordinary. Over the next ten years, we will invest significantly in AI solutions for healthcare. With our AI suite tailored for healthcare, we will execute with an unwavering commitment to its accuracy, privacy, security, and compliance.”​

What You Should Know:

–  XO Health, the innovative health plan designed for self-insured employers, and Innovaccer Inc, the leading healthcare data platform provider, have announced a strategic partnership.

– The strategic collaboration brings together XO Health’s unique model and commitment to a seamless health experience with Innovaccer’s data expertise and robust platform, promising to revolutionize self-insured healthcare for employers and their employees.

Breaking Free from Legacy Inefficiencies

Unlike traditional health plans, XO Health was built from the ground up to address the pain points of self-insured employers. It eliminates costly system inefficiencies by integrating benefits, claims administration, clinical care delivery, and health advocacy into a single, unified experience. This empowers members to actively engage in their healthcare journey and providers to focus on delivering high-quality care.

Data-Driven Optimization for Better Outcomes

The partnership with Innovaccer is a critical step in powering XO Health’s data-first approach. Leveraging the Innovaccer platform, XO Health will gain access to:

• Longitudinal member health data: A comprehensive view of each member’s health over time, allowing for personalized care and interventions.
• Hyper-personalized outreach and engagement: Tailored communication based on individual needs and preferences, fostering proactive health management.
• Industry-leading analytics: Powerful insights into trends and population health data, enabling targeted strategies for improving outcomes.
• Continuous performance measurement: Ongoing monitoring of patient experience and care quality, driving continuous improvement.

The Power of Technology for a Unified Experience

By combining XO Health’s innovative model with Innovaccer’s robust technology, the partnership offers several key benefits:

• Enhanced patient experience: Members gain a seamless, coordinated journey across all aspects of their healthcare, from benefits to clinical care.
• Improved care quality: Providers have access to comprehensive data and insights, enabling personalized care plans and better decision-making.
• Reduced costs: XO Health’s streamlined approach eliminates administrative waste and improves health outcomes, leading to cost savings for employers.
• Increased transparency and trust: All stakeholders benefit from a data-driven system that promotes transparency and trust in the healthcare ecosystem.

This partnership marks a significant shift in the landscape of self-insured health plans. By harnessing the power of data and technology, XO Health and Innovaccer are paving the way for a future where healthcare is personalized, transparent, and optimized for improved outcomes and well-being for all.

Swati Mathai, co-founder and CEO of XO Health, states: “Our vision is to create a healthcare system where trust, transparency, and optimal outcomes go hand-in-hand. Innovaccer’s platform serves as our foundational partner, removing artificial barriers and allowing us to build a unified member experience. Together, we’re pioneering a unique solution with a single source of truth for member data, leading to more effective interactions between individuals and their providers.”

What You Should Know:

• Today Innovaccer Inc. announced that Curana Health, an innovative, fast-growing healthcare organization on a mission to improve the health, happiness, and dignity of senior living residents, is expanding its partnership with Innovaccer to meet strong market demand for its services, and to support the expansion of its value-based programs for high-risk populations nationwide.
• Last year Innovaccer announced that Curana Health had chosen Innovaccer’s Best in KLAS data and analytics platform, care management solution, and point-of-care physician engagement solution to create a new technology platform purpose-built for senior living communities. Curana Health is a provider-led, primary and post-acute organization, that works with Skilled Nursing Facilities, Assisted Living Communities, Memory Care Communities, and Life Plan Communities / Continuing Care Retirement Communities

Expanding Access to Value-Based Care Across the Nation

Since then, Curana has undergone significant growth, expanding its presence to 30 states and establishing partnerships with over 1,100 senior living communities, including various types of care facilities such as skilled nursing facilities, assisted living, memory care, life plan communities, and continuing care retirement communities. This expansion has provided over 750 healthcare providers with the opportunity to excel in value-based care delivery. Curana has achieved this through a provider-led medical group, Medicare Advantage health plans, a Medicare Shared Savings Program (MSSP), and a newly formed ACO REACH organization. Notably, Curana’s MSSP, known as Elite Patient Care ACO, performed exceptionally well in its inaugural year, ranking in the top 1% of all ACOs. It achieved impressive gross savings of $2,235 per beneficiary per year, marking the highest per beneficiary per year savings for a first-year MSSP ACO since 2012.

“We’re committed to technology innovation that improves the experience, communication, and clinical decision-making of our networks’ care teams to enhance health outcomes; and support the performance of value-based contracts among one of the industry’s highest risk populations,” said Todd Tyler, CIO of Curana Health. “We chose the Innovaccer platform so we could work with not only our own EHR, but with any EHR or systems we need to integrate to extend the Innovaccer technology platform. Innovaccer is enabling us to scale population health management for more and more partners in our footprint, and to support innovative VBC models, such as our new ACO REACH program. With the Innovaccer platform, we can unify patient records, share care plans, and maintain continuity of care across all care settings and value-based contracts as fast as we grow.”

Innovaccer and Curana are joining forces to enhance care access, quality, and outcomes for high-risk populations. They’ll achieve this by consolidating patient records across various systems, automating care management, enabling remote patient monitoring, addressing social determinants of health, identifying at-risk patients with AI analytics, closing care gaps, enhancing clinician experience, and more.

What You Should Know:

• Innovaccer Inc. announced that Emcara Health, PopHealthCare’s national value-based medical group that delivers advanced in-home primary care for seniors and vulnerable populations, has selected Innovaccer’s Best in KLAS data platform to accelerate its ability to drive growth and rapidly scale Emcara Health’s integrated care solution to more communities nationwide.
• The Innovaccer data platform will enhance Emcara Health’s ability to create unified patient records that provide a 360-degree holistic view of patients by integrating data from myriad EHRs, HIT systems, and third-party community data (such as SDoH). Interoperable, EHR-agnostic physician engagement will further providers’ efforts to close coding and care gaps at the point of care and make informed decisions that drive better clinical outcomes. 
• Data-driven, customizable TCM protocols will help ensure effective care coordination with automated transitional and chronic care management for at-risk and rising-risk populations.

What You Should Know:

– Innovaccer is unveiling six new breakthrough solutions that help providers accelerate their success with population health, consumerism, and value-based care.

– Leading the lineup is Sara, the first conversational AI for healthcare analytics. Sara is a conversational AI assistant that literally puts the full breadth and depth of enterprise healthcare analytics into the hands of healthcare managers, physicians, and care teams. Anyone can ask Sara complex questions about their health system’s population and get immediate answers on clinical, financial, or operational metrics.

The other five new solutions include:

Innovaccer’s Health 1:1 is the first enterprise customer relationship management (CRM) solution built exclusively for healthcare. By integrating all clinical and consumer data for a patient into a longitudinal consumer/patient record, health systems can find new patients, guide their care, and retain them for life.The integrated data also helps to tie financial outcomes to patient acquisition and retention initiatives, documenting downstream ROI. As the industry’s only Enterprise CRM that’s populated with all of your relevant consumer and patient data from day one, there’s no faster or more effective way to accelerate your success with consumer and patient engagement.

Innovaccer’s Health Equity is a comprehensive solution that helps health systems improve service delivery to underserved communities. They can use Area Deprivation Index (ADI) and member-level Social Vulnerability Index (SVI) scores to estimate socioeconomic needs, build cohorts based on social risk, develop targeted interventions to close care gaps and tap the largest network of community resources for referrals. Social Determinants of Health (SDoH) insights integrated into clinical workflows help providers close care gaps at the point of care. Assessments and surveys capture a population’s complex and changing social needs, while automated workflows drive collaboration among patients, providers, and community resources with closed-loop confidential communications. And health leaders can track performance to measure and improve their health equity strategy using the solution’s customizable dashboard.

Innovaccer’s Network Optimizer is a one-stop solution for healthcare leaders to visualize market dynamics and use data to improve network design, optimize network performance, manage referral steerage, reduce network leakage, decrease care costs, and improve care quality. It uses multi-market, all-payer claims data to simulate network configurations and their influence on network performance with predictive analytics. Network Optimizer also helps predict and preempt the impact of inclusions/exclusions of any given provider group on the health system’s performance across network characteristics such as quality score, adequacy, utilization, and more.

Innovaccer’s Readmission Predict helps providers optimize discharge care planning and care management by using AI to predict the likelihood of readmissions at the time of discharge. Readmission Predict also analyzes Admission-Discharge Transfer (ADT) feeds, claims profiles, and SDoH data to suggest targeted interventions providers can act on. Care managers can then prioritize resources and devote additional appropriate attention to at-risk patients to improve care outcomes, helping avoid readmissions and associated costs.

Innovaccer’s Risk AI boosts coding accuracy by analyzing unstructured EHR and clinical data to help providers identify suspect codes and close coding gaps at the point of care. It uses AI, ML, and NLP to analyze years of unstructured documents—such as patient charts, progress notes, and discharge summaries—to flag potential conditions that might impact a person’s risk score. Suspect codes for these conditions are shown to physicians within their EHR clinical workflow, where they can easily view, accept, or reject them during the clinical encounter, closing appropriate coding gaps at the point of care. This cuts coding time, enhances coding accuracy, improves physician satisfaction and efficiency, and maximizes risk contract outcomes by significantly refining population stratification.

What You Should Know:

Epic, Nordic, Impact Advisors and The Chartis Group won the 2023 Overall Best in KLAS® awards. Epic was named the top Overall Software Suite for the thirteenth straight year in 2023 Best in KLAS – Software & Services report, released, which reports on the top vendors for 2022. Epic was also named the top Overall Physician Practice Vendor. Epic won thirteen other Best in KLAS awards in various market segments. 

– Impact Advisors tied with Nordic to be a co-winner of the Overall IT Services category. Impact Advisors also excelled in several individual categories, winning Best in KLAS awards for ERP Implementation Leadership, Financial Improvement Consulting, and Security & Privacy Consulting Services.

– Nordic tied with Impact Advisors to be a co-winner of the Overall IT Services category. Nordic is a repeat winner from last year, scoring above 90 in four separate services segments and winning a Best in KLAS award for HIT Core Clinical Implementation Leadership.

2023 Best in KLAS Definitions

Best in KLAS is awarded only in those software and services market segments that have the broadest operational and clinical impact on healthcare organizations. Best in KLAS is based on information obtained from 23,000 evaluations KLAS conducted in 2022. Annually, these interviews represent the opinions of healthcare professionals and clinicians from more than 4,500 healthcare organizations and measure more than 1,000 healthcare technology products and services.

Here is a look at the full list of Best in KLAS winners:

Most Improved Software Product – Veradigm (formerly Allscripts). Veradigm FollowMyHealth customer satisfaction has improved nearly 16% over the past year. Customers report technology improvements, with several stating that the addition of automated post-visit summaries has improved efficiency.

Most Improved Services Solution – KPMG. Client satisfaction with KPMG’s ERP Business Transformation & Implementation Leadership services has increased 24.7% since the 2022 Best in KLAS report. The firm is viewed as being able to handle large, complex ERP implementation projects. Across recent engagements, satisfaction with the firm has been more consistent than in the past, with fewer clients reporting misses from the firm. Additionally, consultant expertise is more highly rated. Current clients feel their project resources had deep experience and were able to provide strategic guidance to help clients overcome the challenges that inherently arise in these difficult implementations.

Best in KLAS: Inpatient Clinical Care

340B Management Systems

PharmaForce 340B

Acute Care EMR: Large ( >400 Beds)

Epic EpicCare Inpatient EMR

Acute Care EMR: Midsize (151–400 Beds)

Epic EpicCare Inpatient EMR

Acute Care EMR: Small (1–150 Beds)

MEDITECH Expanse Acute Care EMR

Automated Dispensing Cabinets

BD Pyxis MedStation ES

Clinical Communications: Acute Care

Epic Secure Chat

Clinical Decision Support: Care Plans & Order Sets

Zynx Health Zynx Order Sets and Care Plans

Clinical Decision Support: Point-of-Care Clinical Reference

Merative (formerly IBM) Micromedex Solutions

Data Archiving

Galen Healthcare VitalCenter Online Archival

Drug Diversion Monitoring

Protenus Diversion Analytics

Infection Control & Monitoring

Wolters Kluwer Sentri7 Infection Prevention  

Integration Engines

Lyniate Corepoint

Workflow Management

BD PharmacyKeeper Verification (Grifols)

Medication Inventory Management

Epic Willow Inventory (Inpatient)

Pharmacy Surveillance

VigiLanz Pharmacy Surveillance

Smart Pumps: EMR-Integrated

ICU Medical Plum 360 (LVP)

Smart Pumps: Traditional

ICU Medical Plum 360 (LVP)

Ambulatory & Post–Acute Care

Ambulatory EMR: Health System Owned

Epic EpicCare Ambulatory EMR

Ambulatory EMR: Independent (>75 Physicians)

Epic EpicCare Ambulatory EMR

Ambulatory EMR: Independent (11–75 Physicians)

athenahealth athenaClinicals

Ambulatory Pediatric EMR

PCC EHR

Ambulatory RCM Services

R1 Physician RCM Services  

Ambulatory Surgery Center Solutions

Surgical Information Systems (SIS) SIS Charts  

Behavioral Health

Credible Behavioral Health Enterprise Software

Home Health: Health System Owned

Epic Dorothy

Home Health: Independent (>200 ADC)

MatrixCare Home Health (Brightree)

Home Health: Independent (1–200 ADC)

MatrixCare Home Health (Brightree)

Hospice: Independent

WellSky Hospice & Palliative

Long-Term Care

PointClickCare

Outpatient Therapy/Rehab

Raintree Systems TherapyRehab Plus

Practice Management: Health System Owned

Epic Resolute/Prelude/Cadence Ambulatory

Practice Management: Independent (>75 Physicians)

athenahealth athenaCollector

Practice Management: Independent (11–75 Physicians)

athenahealth athenaCollector

Small Practice Ambulatory EMR/PM: Independent (2-10 Physicians)

athenahealth EHR/PM

Financial/Revenue Cycle/HIM Business

Decision Support

Strata Decision Technology StrataJazz Decision Support

Claims Management & Clearinghouse

Experian Health ClaimSource

Clinical Documentation Integrity

Iodine Software AwareCDI

Complex Claims Services

Revecore

Computer-Assisted Coding (CAC)

Dolbey Fusion CAC

Computer-Assisted Physician Documentation (CAPD)

Nuance CAPD  

Credentialing

ASM MD-Staff

Data & Analytics Platforms

Innovaccer Data Platform

Data Visualization & Reporting

Tableau

Debt Collection Services

RSi RCM

Enterprise Resource Planning (ERP)

Workday HCM Financial Management and Supply Chain (ERP)

Financial Planning & Analysis

Strata Decision Technology StrataJazz Financial Planning

Healthcare Artificial Intelligence: Data Science Solutions

ClosedLoop Healthcare’s Data Science Platform

Healthcare Safety, Risk & Compliance Management

Performance Health Partners Safety, Risk, and Compliance Solutions

Insurance Discovery

FinThrive Insurance Discover

Patient Access

AccuReg Patient Access

Patient Accounting & Patient Management: Large (>400 Beds)

Epic Resolute Hospital Billing

Patient Financial Engagement

Waystar Patient Financial Experience

Patient Financing Services

CarePayment CarePayment Patient Financing

Patient Flow

Epic Grand Central Patient Flow (full suite)  

Real-Time Location Systems (RTLS)

Securitas Healthcare (formerly STANLEY Healthcare) MobileView (Hardware & Software)  

Revenue Cycle: Chargemaster Management

The Craneware Group Chargemaster Toolkit

Revenue Cycle: Contract Management

Experian Health Contract Management & Analysis

Robotic Process Automation

Cloudmed (an R1 Company) Cloudmed Automation

Scheduling: Nurse & Staff

QGenda Nurse & Staff Scheduling

Scheduling: Physician

QGenda Shift Admin Scheduling

Speech Recognition: Front-End

EMR Nuance Dragon Medical One

Talent Management

Workday Human Capital Management  

Time & Attendance

symplr Time and Attendance (formerly API Healthcare)

Value-Based Care

Digital Rounding Huron Rounding

EMR-Centric Virtual Care Platforms

Elation Health: Elation Telehealth

Interactive Patient Systems

pCare

Patient Communications

CipherHealth CipherOutreach

Patient-Driven Care Management

Wolters Kluwer Emmi

Patient Experience Improvement

NRC Health  

Patient Portals

Epic MyChart

Population Health Management

Azara Healthcare DRVS

Remote Patient Monitoring Health Recovery Solutions

HRS Remote Patient Monitoring Platform

Social Determinants of Health

Networks findhelp (Aunt Bertha)

Video Conferencing Platforms

Doximity Dialer

Virtual Care Platforms (Non-EMR)

Caregility Cloud

Security & Privacy

Access Management

Duo Trusted Access (Mostly MFA and EPCS)

Healthcare IoT Security

Medigate by Claroty Medigate IoMT Solutions  

Identity Management

Imprivata IAM Suite

Patient Privacy Monitoring

Protenus Patient Privacy Monitoring

Security & Privacy Consulting Services

Impact Advisors

Security & Privacy Managed Services

Fortified Health Security

Application Hosting

Epic

Clinical Optimization

Galen Healthcare

Denials Management Services

Cloudmed (an R1 Company)  

Digital Transformation Consulting

Chartis

Eligibility Enrollment Services

Change Healthcare Eligibility and Enrollment Advocate

ERP Business Transformation & Implementation Leadership

Huron

ERP Implementation Leadership

Impact Advisors  

Extended Business Office

Guidehouse  

Financial Improvement Consulting

Impact Advisors

Go-Live Support

Medasource

HIT Advisory Services

Guidehouse

HIT Core Clinical Implementation Leadership

Nordic

HIT Staffing

iMethods

Managed IT Services

Pivot Point Consulting, a Vaco Company

Outsourced Coding

Oxford Global Resources  

Physician Advisory Services

XSOLIS

Release of Information

Sharecare  

Revenue Cycle Optimization

Chi-Matic

Revenue Cycle Outsourcing

Guidehouse

Strategy, Growth & Consolidation Consulting

Guidehouse

Technical Services

Prominence

Transcription Services

AQuity Solutions

Underpayment Recovery Services

Revecore

Value-Based Care Consulting

PINC AI (formerly Premier)

Value-Based Care Managed Services

Arcadia

Virtual Scribing Services

AQuity Solutions Real-Time Virtual Scribes

Imaging Systems Cardiology

Merative (formerly IBM) Merge Cardio

Cardiology Hemodynamics

Merative (formerly IBM) Merge Hemo

Image Exchange

Nuance PowerShare  

Oncology: Medical

 Epic Beacon

Oncology: Radiation

Varian (A Siemens Healthineers Company) ARIA

PACS: Large (>300K Studies)

Sectra PACS

PACS: Small (≤300K Studies)

Sectra PACS

Speech Recognition: Front-End Imaging

3M MModal Fluency for Imaging

Universal Viewer (Imaging)

Visage Imaging Visage 7

Vendor Neutral Archive (VNA)

Fujifilm Synapse VNA (TeraMedica)  

Payer Solutions Care Management Solutions (Payer)

ZeOmega Jiva

Claims & Administration Platforms (Payer)

HealthEdge HealthRules Payer

CMS Payer Interoperability

Edifecs XEngine Server For FHIR

Employer-Sponsored Healthcare Services

 Marathon Health

IT Consulting Services (Payer)

EMIDS

Quality Analytics (Payer)

MedInsight Quality Analytics

Risk Adjustment

Vatica Health Risk Adjustment and Quality of Care Solution

What You Should Know: 

– South Carolina’s largest health system, Prisma Health selects the Innovaccer Health Cloud to be its primary value-based care platform for analytics, workflow, and Snowflake data platform management.

– With the Innovaccer Health Cloud’s data and analytics platform, Prisma Health can integrate disparate EHRs and other healthcare systems to create a unified patient record. 

Primsa Health Background

Prisma Health provides healthcare services to nearly 1.5 million unique patients annually in South Carolina through 18 acute and specialty hospitals, and 300 outpatient sites. Their clinically integrated network, inVio, is one of the largest in the Southeast with more than 5,000 employed and independent network providers delivering high quality, value-based care (VBC) to more than 377,000 patients spanning Medicare, Medicaid, and commercial agreements.

Prisma Health will also leverage the following Innovaccer solutions to optimize care management:

– Innovaccer’s EHR-agnostic physician engagement solution, InNote, will provide actionable clinical information at the point of care. 

– InCare, Innovaccer’s care management solution, will deliver integrated workflows that will help Prisma Health’s care teams simplify tasks, bridge care, and assist with documentation accuracy, and support delivery of high-quality coordinated care.

– Innovaccer’s population health management solution will automate complex workflows, and enable risk stratification and targeted care interventions that improve clinical and financial outcomes and enhances both provider and patient experiences.

What You Should Know:

– Innovaccer Inc. announced that UpStream Healthcare, one of the fastest-growing value-based primary healthcare provider solutions in the country, has entered into a multi-year partnership agreement to more than double its population on Innovaccer’s cloud-native platform over the next year, and will use it to scale UpStream’s unique value-based care model nationwide.

– The expanded relationship between the two companies comes on the heels of UpStream’s recent $140 million Series B round, raised to scale its value-based care model nationwide. UpStream has expanded rapidly since it’s 2018 launch, and now supports more than 1,000 primary care physicians and 180,000 Medicare patients in three states.

What You Should Know: 

– Evergreen Nephrology, a nephrology-focused value-based care organization, has chosen the Innovaccer® Health Cloud and Innovaccer’s full solution suite to accelerate the transformation of kidney care. 

– Innovaccer’s cloud-native solutions selected by Evergreen include tools to optimize care management, physician engagement, patient engagement, referral management, advanced analytics, and dashboard-driven insights to optimize delivery of value-based specialty care. 

Improving Quality of Life with People with Kidney Disease

Each year, the U.S. spends more than $130 billion treating kidney disease—an amount that could be significantly reduced were nephrologists involved in care earlier, and were they using the most advanced data and analytics technology to transform and optimize value-based care delivery. Evergreen  has chosen the Innovaccer Health Cloud to unify clinical, claims, utilization, and other data across the myriad of EHRs and IT systems its provider and payer partners use. 

The resulting longitudinal patient records will power advanced analytics, identification, and stratification of patients who need intervention; drive digital outreach for exceptional engagement; streamline care management and coordination workflows for outstanding care experiences; and reduce costs by helping nephrologists see and close care gaps right at the point-of-care. 

“People living with kidney disease mostly interact with their nephrologist or a large dialysis company,” said Gene Sawyer, CIO at Evergreen Nephrology. “Now, with Evergreen, they can benefit from value-based arrangements and the additional wrap-around services that come with them. To do that, we needed a complete technology platform that can serve all constituents in the care continuum—with patients at the center—and that includes their nephrologist, dialysis provider, and the interdisciplinary teams supporting them; whether that’s through social work interaction, behavioral health, dietary, or otherwise. Innovaccer gives us the unique ability to enable this by pulling in data from all the touch points of a patient’s care journey. The platform gathers the information, makes sense of it, and drives high-quality insights straight to the point-of-care. With this data at our fingertips, actions and interventions can be taken that improve outcomes, delay disease progression, shift care to the home, and accelerate kidney transplants when applicable.” 

What You Should Know:

Today Innovaccer, Inc., the Health Cloud company, announced that Franciscan Health, a 12-hospital system with facilities in Indiana and Illinois, is deploying Innovaccer® Health Cloud to enhance risk-based contract performance and to launch a next-generation experience platform to deliver sophisticated customer and patient relationship management strategies.

– Franciscan Health plans to leverage Innovaccer Health Cloud’s Data Activation Platform to integrate Franciscan’s Epic Electronic Health Record (EHR) and non-Epic community-based EHRs, claims, Medicare Shared Savings Program (MSSP), Indiana Health Information Exchange (IHIE), practice management systems, Surescripts systems and consumer data across their employed physician network and affiliated providers.

– Additionally, Franciscan is leveraging the Innovaccer Health Cloud’s Customer Relationship Management (CRM) to reimagine their consumer and patient experience strategy.

Eliminating “Data Islands”

Franciscan Health has “data islands” with patient information scattered across myriad systems, care settings, and physical locations. The Innovaccer Health Cloud’s unified data model will help Franciscan Health quickly bridge those data islands, creating a single source of clinical and financial truth about the patient. Now the health system’s clinicians will be empowered with holistic insights that help them support the highest quality patient-centered care, while reducing costs and delivering exceptional patient experiences.

Key to improved performance is using the unified patient record to enhance operations with deep insights generated by applying advanced analytics to data on the Innovaccer Health Cloud. Innovaccer’s customizable dashboards will provide Franciscan with actionable, near-real-time, comprehensive drill-down analysis of quality, cost, utilization, and risk trends.

What You Should Know:

– Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments.

– For their latest report, Value-Based Care Reimbursement 2022, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how they are moving beyond pay-for-performance into risk-bearing contracts over the next three years and their perceptions on which vendors can help them achieve their upcoming goals with VBC.

Key Themes and Ideas Regarding Value-Based Care Reimbursement 2022

1. Significant Growth Anticipated for Medicaid and Capitation Contracts: Most respondents report strategic plans to expand their VBC contracts over the next three years. Participation in commercial plans, Medicare Advantage, and Medicare Shared Savings Programs will continue to be high, while Medicaid plans—which have the potential to impact a significant number of lives—will see the biggest growth. The administration of capitation contracts can be challenging for those who don’t have experience with them, but they are growing in appeal, as they allow for more predictable revenue than traditional fee-for-service models do.

2. Percent of Revenue Tied to VBC Varies Widely: VBC is making headway, but the depth of its adoption varies across organizations. Some hospitals are just starting out and have little to no revenue from VBC contracts. On the other hand, ACOs and clinically integrated networks, among others, may receive most or all of their revenue from value-based reimbursement, and they represent all organizations in this sample with over 90% of their revenue tied to VBC. Nationally, the average percentage of revenue tied to VBC contracts is about 10%. Even among this report’s sample, which is composed mostly of more progressive organizations, 50% receive one-fifth or less of their revenue from value-based reimbursement.

3. Respondents Overwhelmingly Expect to Bring in More Revenue from VBC in the Future: A vast majority of respondents anticipate that a larger percentage of their revenue will be tied to VBC three years from now. Key drivers of that expectation are newly available opportunities for VBC contracts and market pressures from payers and the government as they move the industry in the direction of VBC.

4. Provider Organizations Are Consolidating Their VBC Vendors: Overall, provider organizations are reducing the number of technology vendors or services firms they use to support VBC.† Only 20% of respondents use more than two vendors to help them tackle VBC; wanting a one-stop shop for data aggregation, analytics, and reporting, the majority have consolidated to either one or two.

5. Epic, Arcadia, and Innovaccer Seen as Most Able to Assist Organizations with Future VBC Needs: Epic’s broad customer base feels that the vendor will be able to assist them with their future VBC needs due to improvements Epic is making to Healthy Planet. Respondents also acknowledge the advantage of Healthy Planet being in the providers’ day-to-day workflow, as it is integrated with the main Epic medical record. Respondents note that Arcadia will be able to provide for future needs because they offer a full suite of products, including robust data aggregation, reporting, and AI coding capabilities. Additionally, respondents highlight Arcadia’s ability to close quality gaps and view both clinical and financial data in one report. Likewise, respondents highlight Innovaccer as a vendor that will be able to assist with VBC in the future because of their impressive dashboards and predictive analytics. Additionally, Innovaccer is reportedly willing to build customized solutions to meet customers’ unique needs.

“If we decide we want to link more robust executive dashboards to track our performance with value-based care as we get bigger and we need better dashboards than what we can get from Epic or our current vendor, we may need the product. We are fine now, but as we grow, we may need better dashboards. I have seen Arcadia’s executive tracking dashboards, and they look phenomenal. The product would be a replacement. I would use Arcadia’s predictive analytics as well because they are as good as, if not better than, what we have.” —VP of population health

What You Should Know:

– UCSF Health Hub and the Digital Health Awards team announces the ten Best in Class winning companies, 40 Rising Stars, three Rising Star Champions and two Hall of Fame inductees for the 2022 Digital Health Awards.

– The winning companies were chosen from more than 1,200 submissions based on a rigorous judging criteria. In the first round of judging, the priority was on reviewing every aspect of qualification, including customer validation, market traction, scope of problem, level of differentiation, clinical impact, clinical validation, ease of use, and cost saving.

– In the second round, for Best in Class track, the focus is on scope of problem, level of differentiation, impact on target users, market traction, and level of validation. For the Rising Star track, the focus was on scope of problem, level of differentiation, impact on target users, market potential, and level of validation.

Here is a look at the winning companies and individuals include

Clinical Diagnostics Tool:

– Best in Class: TytoCare

– Rising Stars: Atropos Health, CardioWise, Inc, Ilara Health and Mediktor

Consumer Prevention

– Best in Class: Interwell Health

– Rising Stars: Kit.com, Gabbi, Intellihealth and Outcomes4Me

Consumer Wellness

– Best in Class: Lexie Hearing

– Rising Stars: Jasper Health, Nymbl Science, Smart Nora and Rosy Wellness, Inc.

Employer Prevention & Wellness

– Best in Class: Virta Health

– Rising Stars: Diagnostikare, Digbi Health, LiveMetric and TunedCare

Mental & Behavioural Health

– Best in Class: Akili Interactive

– Rising Stars: Oui Therapeutics, Mantra Health, Tiatros Inc. and Wise Therapeutics

Remote Diagnostic Tool or Device

– Best in Class: Biofourmis

– Rising Stars: Clearstep Health, Limber Health Inc., Spect Inc. and Strados Labs

New EHR Innovation

– Best in Class: Innovaccer

– Rising Stars: AvoMD, Lumeon, Particle Health and WellBeam Inc

Patient Cost Savings:

– Best in Class: Clarify Health Solutions

– Rising Stars: HealthMe Technology, Turquoise Health, Samaritan and Sempre Health

New Health Application Of  AI

– Best in Class: ImmuneAI

– Rising Stars: Bayesian Health, Biome Analytics Inc, GEn1E Lifesciences and Waymark

New Telehealth Innovation

– Best in Class: Science37

– Rising Stars: Andor Health, Bold Health, Pair Team and ZEPHYRx LLC

Rising Star Champions:

– Atropos Health

– Bayesian Health

– Jasper Health

Founders Hall of Fame:

– Kate Ryder, Founder & CEO of Maven Clinic

– Rushika Fernandopulle, CIO of One Medical, Founder of Iora Health

What You Should Know: 

– Innovaccer, the Health Cloud company, introduced ACO Compare 4.0, the latest version of the company’s popular free tool that enables ACOs to analyze and compare their performance against national and regional benchmarks to help them enhance cost savings and increase the quality of care.

– The updated tool is available for ACOs to use at no charge and includes several new features that help providers identify cost drivers that can impact their risk-adjusted per capita income. 

– ACO Compare 4.0 is the latest addition to Innovaccer’s industry-leading suite of population health management solutions that help ACOs and providers excel at value-based care delivery. 

ACO Compare 4.0 Overview

ACO Compare 4.0 lets providers track their individual performance and annual trends to identify opportunities to improve measures for savings and expenditures, care quality, and utilization, using the latest data from the Medicare Shared Savings Program (MSSP) ACOs for performance years 2013 through 2021. Providers can now:

– Analyze data for up to five ACOs to see how their organization compares against national benchmarks, competitors, and other ACOs nationally.

– Easily check the performance of ACOs based on savings and expenditures, quality measures, utilization measures, and cost drivers.

– Assess performance trends over several years.

– Monitor risk-adjusted expenditures, identify the drivers that lead to high utilization measures, and flag underperforming key performance indicators (KPIs).

– Drill down through the performance view to understand where a specific ACO stands in the state or the entire country.

– Gain insight into low-performing quality measures.

“It’s essential for ACOs to optimize their performance against established MSSP benchmarks for savings and quality,” said Kanav Hasija, chief product officer and cofounder of Innovaccer. “But one of the challenges they face is that it’s difficult for them to monitor comparative performance and identify opportunities for improvement. Now they have a tool they can use to measure, analyze, and benchmark their performance against real-world data and gain crucial insights into how they measure up on cost and quality measures, and what improvements they need to focus on.”