Value Based Contracts

Zing Health Names Eric Mattelson Chief Actuary | PR Newswire | 9/24/2020

CHICAGO , Sept. 24, 2020 /PRNewswire/ – Zing Health, a physician-led Medicare Advantage HMO plan, announced today that Eric Mattelson has been named chief actuary. He will focus on identifying key cost drivers and implementing innovative financial strategies to advance Zing Health’s goal of providing affordable, holistic and inclusive care to improve community health for underserved populations. Eric Mattelson Mattelson is a seasoned leader in the managed care industry. He has …

CareSignal Announces Addition of At-Risk Pricing Option, Driven by Confidence in Proven Implementation Practices and Repeatable Clinical Outcomes | PR Newswire | 9/22/2020

PRNewswire/ – CareSignal, offering Deviceless Remote Patient Monitoring validated by over 10 peer-reviewed journals to deliver industry-leading clinical and financial returns, announces that it will take financial risk on any new contract under a risk-based pricing model. Providers and payers in value-based care contracts stand to benefit most from this new pricing model: As clients of CareSignal, these organizations can hedge the risks traditionally associated with adopting …

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Highmark, AstraZeneca Enter Outcomes-Based Agreement for Severe Asthma Medication Fasenra | PRWeb | 9/21/2020

Highmark, AstraZeneca Enter Outcomes-Based Agreement for Severe Asthma Medication Fasenra Share Article Highmark announced that it has entered an outcomes-based agreement with AstraZeneca for Fasenra, an add-on prescription maintenance treatment for patients age 12 or older with severe asthma. Through outcomes-based agreements, drug companies are accountable for the clinical effectiveness of medications. As part of the agreement, Highmark is measuring members that stay on treatment signaling …

Updated Core Measures Focus on Improving Patient Care, Reducing Burden, and Eliminating Redundancies | Business Wire | 9/16/2020

WASHINGTON, D.C.- Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation’s health care system moves from one that pays based on volume of services to one that pays for value. These updated core sets are a result of months of consensus-based review and deliberation among the group’s 75 …

Accountable Care Coalition of Southeast Wisconsin Generates $84 Million in Total Savings for the Medicare Shared Savings Program | PR Newswire | 9/14/2020

TAMPA, Fla. and RACINE, Wis. and KENOSHA, Wis. and SHEBOYGAN, Wis. and MILWAUKEE Collaborative Health Systems announced today the Accountable Care Coalition (ACC) of Southeast Wisconsin generated $84 million in total savings for the Medicare Shared Savings Program (MSSP) and $42 million in shared savings for performance years 2013 through 2019, according to figures released by the Centers for Medicare & Medicaid Services. In performance year 2019, the ACC of Southeast …

Hudson Accountable Care Generates $12.3 Million in Total Savings for the Medicare Shared Savings Program | PR Newswire | 9/14/2020

TAMPA, Fla. and NEW YORK Collaborative Health Systems announced today Hudson Accountable Care generated $12.3 million in total savings for the Medicare Shared Savings Program (MSSP) for performance years 2017 through 2019, according to figures released by the Centers for Medicare & Medicaid Services (CMS). This marks the second year Hudson Accountable Care, a Medicare Accountable Care Organization (ACO), achieved both total savings to Medicare and shared savings for the ACO …

Accountable Care Coalition of Georgia Generates $2.5 Million in Total Savings for the Medicare Shared Savings Program | PR Newswire | 9/14/2020

TAMPA, Fla. and DECATUR, Ga. Collaborative Health Systems announced today the Accountable Care Coalition (ACC) of Georgia generated $2.5 million in total savings for the Medicare Shared Savings Program (MSSP) for performance year 2019, according to figures released by the Centers for Medicare & Medicaid Services (CMS). In performance year 2019, the ACC of Georgia : Served 8,500 Medicare beneficiaries across Georgia ; Achieved a total quality score of 92%; Delivered $2.5 million …

Mid-Atlantic Collaborative Care Generates $28 Million in Total Savings for the Medicare Shared Savings Program | PR Newswire | 9/14/2020

TAMPA, Fla. , FAIRFAX, Va. , ROCKVILLE, Md. , BALTIMORE and WASHINGTON Collaborative Health Systems announced today Mid-Atlantic Collaborative Care generated $28 million in total savings for the Medicare Shared Savings Program (MSSP) and $13.4 million in shared savings for performance years 2017 through 2019, according to figures released by the Centers for Medicare & Medicaid Services (CMS). This marks the third consecutive year Mid-Atlantic Collaborative Care, a Medicare Accountable Care Organization …

Collaborative Health Systems ACOs Deliver $335 Million in Total Savings to Medicare Since 2012 | PR Newswire | 9/14/2020

Collaborative Health Systems ACOs Deliver $335 Million in Total Savings to Medicare Since 2012 89% of CHS ACOs Generate $41 Million in Total Savings for Medicare in 2019 News provided by Sep 14, 2020, 16:51 ET Share this article TAMPA, Fla. , Sept. 14, 2020 /PRNewswire/ – Collaborative Health Systems (CHS) announced today that its Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) delivered $335 million in total savings to Medicare …

CareSignal Announces Deviceless Remote Patient Monitoring Milestone: 20,000 Patient-Years of Engagement Delivered to Date | PR Newswire | 9/9/2020

GDPR CareSignal Announces Deviceless Remote Patient Monitoring Milestone: 20,000 Patient-Years of Engagement Delivered to Date CareSignal has supported tens of thousands of individual patients with chronic and behavioral health conditions for a combined duration of more than 20,000 patient-years. News provided by Sep 09, 2020, 08:13 ET Share this article ST. LOUIS , Sept. 9, 2020 /PRNewswire/ – CareSignal, offering Deviceless Remote Patient Monitoring (RPM) validated in more than 10 …

Lyfegen Raises Additional CHF 2 Million to Advance Value-Based Healthcare Contracting | PR Newswire | 9/1/2020

Lyfegen Raises Additional CHF 2 Million to Advance Value-Based Healthcare Contracting English Sep 01, 2020, 05:00 ET Share this article BASEL, Switzerland , Sept. 1, 2020 /PRNewswire/ – Investors back Lyfegen’s mission to make innovative healthcare therapies more accessible and affordable Funding secures market-leading position prior to Series A opening in 2021 Lyfegen’s founders Nico Mros, Michel Mohler, Girisha Fernando, and Leon Rebolledo Lyfegen HealthTech AG, a Swiss health technology …

Allina Health and Blue Cross and Blue Shield of Minnesota Commit to Landmark Value-Based Contract in Minnesota | PR Newswire | 8/27/2020

PRNewsfoto/Allina Health ,Blue Cross and B) (PRNewsfoto/Allina Health ,Blue Cross and B) Blue Cross and Blue Shield of Minnesota (PRNewsFoto/Blue Cross and Blue Shield of MN) MINNEAPOLIS and ST. PAUL, Minn. Following more than a year of collaboration and planning, Allina Health and Blue Cross and Blue Shield of Minnesota (Blue Cross) today announced a six-year, value-based payment agreement between the two organizations, which collectively …

Aledade Named to the 2020 CB Insights Digital Health 150 List of Most Innovative Digital Health Startups | PR Newswire | 8/24/2020

Aledade Named to the 2020 CB Insights Digital Health 150 List of Most Innovative Digital Health Startups Aledade Recognized For Achievements in Value-Based Primary Care News provided by Aug 24, 2020, 09:00 ET Share this article NEW YORK , Aug. 24, 2020 /PRNewswire/ – Aledade was recently named to CB Insights ‘ second annual Digital Health 150 ranking, which showcases the 150 most promising private digital health companies in the world. The …

Aledade Named to the 2020 CB Insights Digital Health 150 List of Most Innovative Digital Health Startups | PR Newswire | 8/24/2020

Aledade Recognized For Achievements in Value-Based Primary Care Press Release - updated: Aug 24, 2020 09:00 EDT NEW YORK, August 24, 2020 (Newswire.com) - Aledade was recently named to CB Insights ‘ second annual Digital Health 150 ranking, which showcases the 150 most promising private digital health companies in the world. The 2020 Digital Health 150 cohort highlights startups that are reimagining the lines of the traditional healthcare experience across 12 categories …

Apervita Launches Healthcare Industry’s First Native Cloud-Based Digital Quality Measurement Services | PR Newswire | 8/19/2020

CHICAGO Apervita , a trusted healthcare technology leader delivering innovative technology solutions to payers, providers and other stakeholders, today launched its digital Quality Measurement-as-a-Service offering (QMaaS ™ ), the industry’s first cloud-based digital quality measurement platform. Based on Apervita’s Clinical Quality Language (CQL) engine, QMaaS offers a secure and scalable multi-tenant Software-as-a-Service (SaaS) platform to deliver consistent, near real-time provider quality measurement to third …

Highmark Forges Outcomes-Based Contract with UCB for Anti-Inflammatory Drug CIMZIA® (certolizumab pegol) | PRWeb | 8/18/2020

Highmark Forges Outcomes-Based Contract with UCB for Anti-Inflammatory Drug CIMZIA® (certolizumab pegol) Share Article Highmark announced that it has entered an outcomes-based agreement with UCB, Inc. (“UCB”) for UCB’s medication CIMZIA® (certolizumab pegol). CIMZIA is a tumor necrosis factor blocker that is prescribed for adult patients with chronic inflammatory conditions. This value-based contract with UCB continues Highmark’s streak of designing and implementing value-based agreements for …

Altruista’s GuidingCare Technology Platform Achieves Certification for HEDIS Measures from NCQA | PR Newswire | 8/17/2020

RESTON, Va. , Aug. 17, Altruista Health said today that its GuidingCare® technology platform for care management and population health has achieved HEDIS® AA certification for a subset of measures under the new Rules for Allowable Adjustments from the National Committee for Quality Assurance (NCQA). The certified measures in pediatrics, behavioral health and certain chronic conditions are available through GuidingCare, the nation’s largest and most widely adopted platform of its kind …

Keet Outcomes Clients Earn Exceptional Performance Scores in Medicare Quality Care Program | PRWeb | 8/13/2020

Keet Outcomes Clients Earn Exceptional Performance Scores in Medicare Quality Care Program Share Article Providers using Keet Outcomes lead the way in demonstrating the value of rehab therapy. We’re delighted for our clients, not simply because of the bonus they’ll realize in 2021, but also because their ability to demonstrate quality outcomes will give patients, referring providers and commercial payers visibility into the high quality of care they provide. AUSTIN …

KPI Ninja’s Ninja Universe Achieves ONC Health IT Certification from Drummond Group LLC | PR Newswire | 8/4/2020

LINCOLN, Neb. , Aug. 4, KPI Ninja , a leading healthcare technology company known for its comprehensive population health analytics, is pleased to announce that their platform, Ninja Universe, has achieved Office of the National Coordinator for Health Information Technology (ONC-Health IT) 2015 Edition Health IT Module Certification via Drummond Group . By using KPI Ninja’s certified technology, providers and organizations can satisfy the requirement of using Certified Electronic Health Record Technology …

Rick Ratliff Joins Apervita As Chief Commercial Officer | PR Newswire | 8/3/2020

CHICAGO Apervita , a trusted technology leader in healthcare collaboration for payers, providers and other stakeholders, today welcomes Rick Ratliff as Chief Commercial Officer. At Apervita, Rick will oversee the commercialization of the company’s innovative platform, which enables health data interoperability, digital quality measurement, as well as the monitoring and measuring of performance for value-based contracts for both payers and providers. Rick Ratliff Rick has held numerous executive posts in …

Healthcare Entrepreneur Nina Nashif Joins VillageMD as Chief Innovation Officer | PR Newswire | 7/28/2020

Healthcare Entrepreneur Nina Nashif Joins VillageMD as Chief Innovation Officer News provided by Jul 28, 2020, 08:01 ET Share this article CHICAGO , July 28, 2020 /PRNewswire/ – VillageMD announced today that Nina Nashif has been appointed as Chief Innovation Officer (CIO). Nina joins the organization at an exciting time and will be leading several important growth initiatives that will advance VillageMD’s national presence and focus on scaling a technology-enabled, risk …

NCQA Selects Apervita as Beta Partner for eCQM Certification Program | PR Newswire | 7/23/2020

CHICAGO Apervita , a trusted technology leader in healthcare collaboration for payers, providers, and other stakeholders, today announced that it has been named a beta testing partner for the National Committee for Quality Assurance (NCQA) eCQM Certification Program™. NCQA, a private, nonprofit organization dedicated to improving healthcare quality, selected Apervita to test how well they calculate eCQMs using electronic clinical data by utilizing NCQA methodology. Apervita was selected for this program …

Apervita Achieves NCQA Digital HEDIS Certification with CQL Engine | PR Newswire | 7/22/2020

Apervita Achieves NCQA Digital HEDIS Certification with CQL Engine Apervita digital HEDIS measures bring consistency, efficiency and standardization to healthcare quality reporting News provided by Jul 22, 2020, 10:00 ET Share this article CHICAGO , July 22, 2020 /PRNewswire/ – Apervita , a trusted technology leader in healthcare collaboration for payers, providers, and other stakeholders, today announced the NCQA (National Committee for Quality Assurance) Measure Certification Program™ has certified Apervita for a subset …

HealthVerity Acquires Curisium to Enhance Data Exchange for Drug Rebate Processing and Contract Management | PR Newswire | 7/20/2020

PHILADELPHIA HealthVerity, the leader in privacy-protected data exchange, today announced that it has acquired Curisium, an innovator in cloud-based drug rebate processing and contract performance management. The combination of HealthVerity and Curisium will deliver a more complete and responsive infrastructure for high-governance, privacy-compliant data sharing between pharmaceutical manufacturers, pharmacy benefits managers (PBMs) and payers. Current Curisium clients leverage cutting-edge technologies that streamline and consolidate contract …

OneOncology Appoints Dr. John Fox Medical Director for Managed Care | PR Newswire | 7/20/2020

RSS Feeds: OneOncology Appoints Dr. John Fox Medical Director for Managed Care Nashville, TN, July 20, 2020 –( PR.com )– OneOncology, the national partnership of independent oncology practices, today appointed John Fox, MD as Medical Director, Managed Care. In his role, Fox will work with OneOncology partner practices to develop, evolve and maintain value-based contracts with commercial and public payers.“As the transition from fee-for-service to value-based contacts …