Value Based Contracts

CitiusTech Launches Industry’s First Rules Management Module | Business Wire | 11/17/2017

… improve process and efficiency for quality measure management by as much as 60 percent. “Managing a vast number of clinical quality measures and meeting various requirements of quality from regulations, pay for performance and value based contracts and population health programs can be overwhelming for healthcare organizations,” says Jeffrey Springer, vice president of healthcare solutions at CitiusTech. “Responding to our customers’ needs, we’re pleased to continuously deliver high quality solutions …

The Care Centered Collaborative at The Pennsylvania Medical Society Establishes Joint Venture with | PR Newswire | 11/14/2017

… and care coordination resources to proactively manage the care of high-cost high-risk patients. “We’re proud to be able to help practitioners maintain their independence while keeping care local and gaining access to value based contracts as a collaborative group,” said Sanjay Seth , MD, Executive Vice President at HealthEC. “Our relationship will position providers to take on higher levels of accountability for effectively managing utilization and population health across …

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The Care Centered Collaborative at The Pennsylvania Medical Society Establishes Joint Venture with HealthEC | PR Newswire | 11/14/2017

… and care coordination resources to proactively manage the care of high-cost high-risk patients. “We’re proud to be able to help practitioners maintain their independence while keeping care local and gaining access to value based contracts as a collaborative group,” said Sanjay Seth , MD, Executive Vice President at HealthEC. “Our relationship will position providers to take on higher levels of accountability for effectively managing utilization and population health across …

HealthBI Achieves HITRUST CSF Certification | PRWeb | 10/17/2017

… Equality Health, is the most widely deployed solution for care navigation and virtual care team communities across the nation. Specializing in real-time health data integration, provider insight and affordable coordination of care for value based contracts . Headquartered in Scottsdale, Arizona, HealthBI is a HITRUST Certified Saas-based solution that was collaboratively developed by health plan leaders and clinical care coordinators to eliminate the inefficiencies of care management and to …

Medicare Advantage

Aledade Raises $64 Million Series C on Nationwide Growth of Value-Based Care Network | PR Newswire | 4/20/2020

… its patient base and total health care spending under management. This funding will empower the company to continue growing its existing and new ACOs as well as its value-based contracts with Medicare, Medicare Advantage, Medicaid, and leading commercial health plans. “All across America, primary care physicians are in need of innovative ways to deliver better care at a lower cost, while simplifying the administrative burden that takes time away …

Navvis Advances Population Health in Florida Working with Florida Medical Clinic to Create Opportunities for Providers to Deliver High Quality Care | Business Wire | 11/12/2019

… quality care to their patients and capitalize on successful value-based care performance. Navvis and Florida Medical Clinic will be offering HealthSync services to additional markets in the future. With rapid increases in Medicare Advantage enrollment, expansion in commercial and Medicare ACOs, and growth in managed Medicaid contracts, the Florida market represents significant value-based care opportunities for providers. These opportunities all require integrated population health management capabilities that effectively …

Value Based Contracting

Coeus Consulting Group Continues its Expansion with the Hiring of Two Key Executives | Business Wire | 4/9/2020

… boutique life science consulting firm, today announced it has hired two executives to help grow and manage the company’s enhanced market access offerings. Kim Gwiadzdinski joins Coeus as the Vice President of Outcomes & Value Based Contracting and Dr. Neil Minkoff joins as Chief Medical Officer. Gwiadzdinski brings more than 20 years of direct market access experience holding key strategic positions at large national payers including Prime Therapeutics and Cigna. In …

How iPatientAxis’ Data Insights Catalyze Clinical Advancement | PR Newswire | 12/2/2019

ROCHESTER, N.Y. In an ever-changing landscape, healthcare delivery systems need to stay in front of regulatory changes to be successful. iPatientAxis’ registry-based data insight guides and supports practice and institution-critical decision-making processes, bringing into alignment a vision of quality excellence and accelerating the delivery of patient-centered care. iPatientAxis has dependable, non-duplicating information upon which to compare clinical decisions, whether those decisions are for business …

Clinical Analytics

Integrated Clinical and Claims Data: The Recipe for Healthcare Payer Analytics Success Finally Becoming a Reality According to Latest Chilmark Report | PR Newswire | 11/13/2019

… and organizational challenge.” This comprehensive report provides an overview of the payer analytics and reporting market and evaluates offerings from 18 leading vendors, classified under three categories based on data focus: claims analytics, clinical analytics, and technology-enabled services vendors. Each profile includes an assessment of the vendor’s strengths and challenges, plus detailed descriptions and evaluations of both the product capabilities and market execution across 21 categories. Commercial and government …

The Care Centered Collaborative at The Pennsylvania Medical Society Establishes Joint Venture with | PR Newswire | 11/14/2017

… patients. “We’re proud to be able to help practitioners maintain their independence while keeping care local and gaining access to value based contracts as a collaborative group,” said Sanjay Seth , MD, Executive Vice President at … optimize patient quality of life for its customers. The company’s clinical analytics identify provider-specific patterns and guide patient care interventions for better Care Coordination activities and outcomes, lower cost resource utilization, and maximum reimbursement …

Clinical Data

Apervita Secures $22 Million Investment to Fuel Future Growth | PR Newswire | 11/12/2019

… to receive certification from National Committee for Quality Assurance (NCQA) for clinical quality language (CQL) based execution of eCQMs, and is currently among the first companies pursuing certification for digital versions of Electronic Clinical Data Systems (ECDS) and Healthcare Effectiveness Data and Information (HEDIS ® ) measures released by NCQA. With its cutting edge cloud-based quality solution, Apervita can now incorporate standard and custom digital quality measures into the industry’s most …

Genesis Physicians Group Partners with Fibroblast to Optimize Patient Referral Management for Value-Based Care | PR Newswire | 6/4/2019

… Medicaid, Medicare Advantage plans, and employer-sponsored health plans. Fibroblast’s searchable database of all provider profiles in the Genesis preferred network, serves as a single source for all relevant professional, demographic, insurance, and clinical data. It applies machine learning and business logic to guide referrals to the most appropriate, highest-value providers, based on quality, cost, insurance, location, and availability information. To measure performance and gain actionable insights into network …

Population Health

Navvis Advances Population Health in Florida Working with Florida Medical Clinic to Create Opportunities for Providers to Deliver High Quality Care | Business Wire | 11/12/2019

Weather AP Navvis Advances Population Health in Florida Working with Florida Medical Clinic to Create Opportunities for Providers to Deliver High Quality Care 2 hrs ago Save ST. LOUIS & TAMPA, Fla.–(BUSINESS WIRE)–Nov 12, 2019– Expanding its Florida market presence, Navvis today announced a controlling investment in a joint venture with Florida Medical Clinic, an industry leader in value-based healthcare with 350 providers, 150,000 patients, and value-based …

Innovative Management Solutions New York Partners with Arcadia.io to Improve Health Care with Behavioral Health Data | PR Newswire | 11/5/2019

BURLINGTON, Mass. and NEW YORK , Nov. 5, Population health management leader Arcadia ( www.arcadia.io ) announced today a partnership with Innovative Management Solutions (IMSNY), a joint venture between Coordinated Behavioral Care (CBC) and Coordinated Behavioral Health Services IPA (CBHS). Through this partnership, IMSNY will be able to better understand and improve the quality of care for New Yorkers with serious mental illness, substance use disorders and/or chronic health conditions, children with …

Health Management

Navvis Advances Population Health in Florida Working with Florida Medical Clinic to Create Opportunities for Providers to Deliver High Quality Care | Business Wire | 11/12/2019

… in Medicare Advantage enrollment, expansion in commercial and Medicare ACOs, and growth in managed Medicaid contracts, the Florida market represents significant value-based care opportunities for providers. These opportunities all require integrated population health management capabilities that effectively support physicians, connect a care ecosystem, and ensure timely, personalized healthcare delivery. Through this acquisition, HealthSync will bring an integrated solution to provide these services and ubiquitously serve all payers and lines …

Innovative Management Solutions New York Partners with Arcadia.io to Improve Health Care with Behavioral Health Data | PR Newswire | 11/5/2019

BURLINGTON, Mass. and NEW YORK , Nov. 5, Population health management leader Arcadia ( www.arcadia.io ) announced today a partnership with Innovative Management Solutions (IMSNY), a joint venture between Coordinated Behavioral Care (CBC) and Coordinated Behavioral Health Services IPA (CBHS). Through this partnership, IMSNY will be able to better understand and improve the quality of care for New Yorkers with serious mental illness, substance use disorders and/or chronic health conditions, children with …

Clinically Integrated Network

Genesis Physicians Group Partners with Fibroblast to Optimize Patient Referral Management for Value-Based Care | PR Newswire | 6/4/2019

… only that no patients fall through the cracks, but also that physicians can thrive in the business of healthcare today.” About Fibroblast Fibroblast is the industry leader in referral intelligence for health systems, clinically integrated networks, accountable care organizations, and large physician groups. The company’s end-to-end solution addresses the challenges of optimizing referrals in both fee-for-service and fee-for-value care delivery models. As the most …

The Care Centered Collaborative at The Pennsylvania Medical Society Establishes Joint Venture with | PR Newswire | 11/14/2017

… company. HealthEC will work with The Collaborative to assist independent physicians and physician groups in establishing or further enabling select Clinically Integrated Networks (CINs). The multi-year joint venture creates the opportunity for these CINs … their independence while keeping care local and gaining access to value based contracts as a collaborative group,” said Sanjay Seth , MD, Executive Vice President at HealthEC. “Our relationship will position providers to take on higher …

HealthEC

Integrated Clinical and Claims Data: The Recipe for Healthcare Payer Analytics Success Finally Becoming a Reality According to Latest Chilmark Report | PR Newswire | 11/13/2019

… view the report page . Direct inquiries for purchase should be addressed to John Moore III at [email protected] . Vendors Profiled: Arcadia.io, CareEvolution, Cerner Corporation, Certilytics, Change Healthcare, Clarify Health Solutions, Cotiviti, Health Catalyst, HealthEC, IBM Watson Health, MedeAnalytics, Medecision, Milliman, Optum, Philips, SCIO-EXL, SPH Analytics, ZeOmega About Chilmark Research: Chilmark Research is the only industry analyst firm focusing solely on the most transformational trends in healthcare IT. We combine …

The Care Centered Collaborative at The Pennsylvania Medical Society Establishes Joint Venture with | PR Newswire | 11/14/2017

… the Pennsylvania Medical Society (PAMED) , which was created one year ago to promote value-based care across the state, and HealthEC , a KLAS-recognized population health management company. HealthEC will work with The Collaborative to … their independence while keeping care local and gaining access to value based contracts as a collaborative group,” said Sanjay Seth , MD, Executive Vice President at HealthEC. “Our relationship will position providers to take on higher …