In theory, electronic health records (EHRs) have the potential to transform the healthcare landscape. They were expected to provide a digital hub that would enable seamless communication and information sharing between providers, boost efficiency, improve the quality of care, and foster optimal patient and clinician experiences. The reality, unfortunately, has not matched the possibilities. While well-intentioned, the Federal Government’s 2011 Meaningful Use Mandate program—to
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Veradigm, On Belay Health Solutions Expand Value-Based Care Solutions to More Primary Care Practices
What You Should Know: - Veradigm Inc., a provider of healthcare data and technology solutions and On Belay Health Solutions announced a strategic collaboration to support primary care providers in improving patients’ health outcomes while strengthening their practices’ financial foundation. - The shift from a fee-for-service healthcare delivery model to a value-based care model has significantly changed the way healthcare is delivered and reimbursed in the United States. Veradigm’s
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The SDOH Reality Check: Coding, Claims and Value-Based Care
While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. These mandates are designed to hold Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) accountable. While the rollout of SDOH code sets across our healthcare ecosystem is one phase, alone it’s not enough. The next phases are even more critical: codes must be collected, used,
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Walgreens, Pearl Health Partner to Expand Value-Based Care Delivery
Walgreens, Pearl Health Partner to Expand Value-Based Care Delivery What You Should Know: - Walgreens and Pearl Health, a provider enablement company has announced a strategic partnership to accelerate the expansion of value-based care in collaboration with community-based primary care physicians. - Pearl Health offers technology and insight solutions that empower clinical teams to provide holistic, personalized treatment necessary for value-based, quality-focused care. -
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The Benefits of a Stand-Alone Care-Management Program
Poorly managed chronic conditions—most of which are related to lifestyle—cost employers $36.4 billion each year in the form of absenteeism and poor productivity. Add in coverage-related and other costs, and that number skyrockets to $575 billion. Coverage costs alone have increased by 47% over the previous ten years. Research shows that at-risk employees can benefit from care management programs that help them better maintain their chronic conditions, while employers benefit from lower
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Headspace & Intermountain’s Castell Form VBC Mental Healthcare Partnership
What You Should Know: - Headspace, a comprehensive digital mental healthcare provider, and Castell, Intermountain’s value-based care subsidiary, have signed a value-based care (VBC) mental health partnership designed to improve health outcomes through a personalized care experience for members. - The VBC mental health partnership will provide members with access to Headspace’s clinical offerings including their self-guided content, behavioral health coaching, and therapy in an
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CareFirst BlueCross BlueShield, Ryse Health Partner to Accelerate VBC for Diabetes Patients
What You Should Know: Today, CareFirst BlueCross BlueShield (CareFirst), the largest not- for-profit health plan in the mid-Atlantic region, and Ryse Health (Ryse), an operator of specialized cardiometabolic health clinics, announced a first of its kind quality improvement partnership serving individuals with uncontrolled type 2 diabetes in CareFirst’s commercial networks.The program will pair Ryse providers with CareFirst members in Washington, D.C., Maryland, and Northern
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VBC: Improving Healthcare Outcomes With A Strong Payer-Provider Relationship
The last few years have emphasized the need for high-quality healthcare for patients that is accessible and affordable for all. There is tension between stakeholders in the healthcare industry surrounding efforts to keep costs low and increase revenue, while not sacrificing patient experience. Years before the pandemic, the Affordable Care Act (ACA) revolutionized the healthcare industry and encouraged a new approach to balancing all the variables: value-based care (VBC). Whereas providers were
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Interwell Health Expands its Value-Based Kidney Care Network
What You Should Know: Interwell Health, a value-based kidney care company, has recently expanded its network with more than 20 new physician practices--supporting the shift to more value-based kidney care. The Interwell Health provider network now includes 1,700 nephrologists from across the country who are aligned with its mission to reimagine kidney care and help people with chronic kidney disease (CKD) live healthier lives. These 135 practices range from large to small,
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FemTech: Herself Health Raises $26M To Power Primary Care for Women 65+
What You Should Know: - Herself Health, a New York City-based healthcare company providing comprehensive primary care to women 65+raises $26M in Series A fuding led by Michael Cline of Accretive serving as the lead investor. The company has raised $33 million to date. Juxtapose also participated in the Series A. - Founded in 2022, Herself Health provides value-based care to women 65+ with a focus on helping women feel seen and heard as they age in a way that the current healthcare
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