Blue Cross and Blue Shield of Minnesota announced it had entered into a full-risk value-based care arrangement with hybrid startup Homeward that aims to increase access for rural Minnesotans. The insurer and the rural healthcare…
Continue Reading
Medicare Advantage enrollment grew to 29.5 million people for the 2023 plan year, now representing 46% of total Medicare enrollment, according to a Tuesday report from The Chartis Group. However, enrollment is growing at…
Continue Reading
Value-based care startup Vytalize Health garnered a whopping $100 million in funding.Monroe Capital and Enhanced Healthcare Partners led the round with participation from North Coast Ventures.
WHAT THEY DO
Vytalize Health offers independent primary care practices…
What You Should Know:– Apixio, a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers. With the Centers for Medicare…
Continue Reading
Aledade, an independent primary care network, announced Tuesday that it has acquired value-based care analytics company Curia.
Bethesda, Maryland-based Aledade is a public benefit corporation with a focus on value-based care and aims to reduce…
There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees, operate on the cutting edge…
Continue Reading
We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Lead Data Architect – Healthcare position that was recently posted on Healthcare IT Central….
Continue Reading
Heather Bassett, M.D., Chief Medical Officer, XSOLISToday’s relationship between payers and providers is more fraught than ever. With a history of transactional, often adversarial, fee-for-service contract negotiations, it’s no wonder that the healthcare industry…
Continue Reading
What You Should Know:– Aledade today announced the acquisition of Curia, a leader in value-based care analytics using practical applications of artificial intelligence (AI) to optimize the targeting of patient care and engagement programs….
Continue Reading
Amid swirling accusations that Medicare Advantage Organizations (MAOs) are overbilling the U.S. government and calls for better oversight, the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. They expect to recoup 4.7 billion dollars through this program.
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting,…
