Value-Based Reimbursement

athenahealth Earns the Frost & Sullivan 2020 RCM Company of the Year Award | PR Newswire | 8/18/2020

… Frost & Sullivan recognizes athenahealth, Inc. with the 2020 United States Company of the Year Award for driving an innovative portfolio of RCM solutions that optimize collections for providers in both fee-for-service and value-based reimbursement . athenahealth’s agile and interoperable solutions allow customers to visualize the patient’s journey across the care continuum and leverage actionable data to make more informed financial decisions. 2020 United States Revenue Cycle Management Company …

athenahealth earns the 2020 RCM company of the year award | 8/18/2020

… Frost & Sullivan recognizes athenahealth, Inc. with the 2020 United States Company of the Year Award for driving an innovative portfolio of RCM solutions that optimize collections for providers in both fee-for-service and value-based reimbursement . athenahealth’s agile and interoperable solutions allow customers to visualize the patient’s journey across the care continuum and leverage actionable data to make more informed financial decisions. athenahealth acclaimed by Frost & Sullivan for being …

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How AI can enhance diagnostic imaging services | 8/17/2020

Diagnostic imaging AI is fast becoming a measurable advantage for the radiology practice that wants to shift gears and gain market traction. A great example of how it can fully support the radiology practice is in value-based reimbursement . One of the major innovations implemented by the Affordable Care Act, these value-based reimbursement s have redefined how payments are structured from government health plans. The value-based model gives groups …

Highmark Health, Contessa Expand Joint Venture Delivering Hospital-Level Care in the Home | Home Health Care News | 8/13/2020

… to adopt this model in the market as a part of our virtual health and home-first strategy, we had assessed a number of different capability partners.” The Home Recovery Care model uses a value-based reimbursement methodology that was specifically designed and implemented with Highmark, according to Ripley. “It is a specific reimbursement methodology that the JV has constructed with Highmark,” she said. “Essentially, the Contessa joint venture is …

2020 Insights on the Global National eHealth Initiatives Advancing the Precision Medicine Market to 2025 - ResearchAndMarkets.com | Malvern Daily Record | 8/13/2020

… added to ResearchAndMarkets.com’s offering. Precision medicine is transitioning toward wider acceptance, due to mounting payer pressures and regulatory changes that are shifting pharma businesses from prescriptive to more predictive and personalized models. Emergence of value-based reimbursement models and healthcare consumerism trends are helping move the treatment model from one-size-fits-all’ to a stratified and outcome-based targeted therapeutics concept called precision medicine’ (PM). Companion diagnostics (CDx) and …

Health Catalyst to acquire Vitalware and forms new partnership with Northwell | Healthcare IT News | 8/13/2020

… to the company, expanding the tools available for healthcare chief financial officers. Its chargemaster technology and other revenue integrity and price transparency tools can help providers manage the complex regulatory and compliance demands of value-based reimbursement . The deal , expected to close later this year, is for an aggregate purchase price of about $120 million, with an earnout of an additional $30 million. Health Catalyst plans fund the transaction using …

Retail Giants Reshaping Primary-Care Focus | 8/4/2020

… about a year after a five-clinic trial launched in Houston. That trial has driven high patient satisfaction scores with increased medication adherence and improved patient outcomes - all crucial elements to succeeding in a value-based reimbursement environment. Walmart’s decision to launch an insurance subsidiary is a natural outgrowth of the retailer’s specialty pharmacy business, which manages therapies for some of the costliest diseases, and falls in line with the …

Value-Based Reimbursement Can Decrease Spending on Medicare During COVID-19 | 8/3/2020

… the elderly and chronically ill by making these outcomes the primary incentive for reimbursement. During COVID-19, the need for a more cost-effective and outcomes-based system has been made devastatingly clear; a value-based reimbursement system is a step in the right direction for the Medicare patient population. The above opinions are wholly my own and in no way represent the opinions of my affiliated institutions. Share this …

Lawmakers Propose Changes to MACRA to Boost ACO, APM Participation | RevCycle Intelligence | 7/28/2020

… our seniors, which is critical now in our fight against COVID-19,” added LaHood. READ MORE: Entering the Next Phase of Value-Based Care, Payment Reform Signed into law in 2015, MACRA established a value-based reimbursement system for Medicare providers. The law created the Quality Payment Program, which includes the Merit-Based Incentive Payment System (MIPS) and the Advanced APM pathway. While most Medicare providers participate in the Quality …

National eHealth Initiatives Advancing Global Precision Medicine Market, 2018–2025 | 7/28/2020

… Medicine Market, 2018–2025 Precision medicine is transitioning toward wider acceptance, due to mounting payer pressures and regulatory changes that are shifting pharma businesses from prescriptive to more predictive and personalized models. Emergence of value-based reimbursement models and healthcare consumerism trends are helping move the treatment model from ‘one-size-fits-all’ to a stratified and outcome-based targeted therapeutics concept called ‘precision medicine’ (PM). Companion diagnostics (CDx) and …

Embedded vs Remove Care Management Delivery Models and Their Impact on Achieving the Quadruple Aim | 7/23/2020

As the health care industry transitions from fee for service to value-based reimbursement , the role of the professional care manager in the delivery of high-quality, low cost care is evolving rapidly (Luo, et al., 2016). Identified as a key strategy to success in value-based payment models, care management programs vary widely in their scope, design and delivery (Kodner, 2015). Health plans that once provided remote care management …

Council Post: Health Systems Are Under Financial Pressure — Here Are Three Ways Technology Can Help Them Recover | Forbes | 7/22/2020

Chief Medical Officer at Enli , overseeing value-based reimbursement analytics and data-driven care coordination strategy. As a lifelong student of medical practice, business and healthcare technology, my role is to contemplate (anticipate) the impact of Covid-19 on our healthcare system. The current state is concerning. Health systems that are just beginning to manage the influx of sick and exposed patients are now confronted with a new problem: a …

The Waterfall Project Management Methodology | 7/20/2020

Today, the practice of medicine is becoming more sophisticated and multifaceted so that the majority of physicians are struggling to keep up with the system demands. The contemporary Value-based reimbursement models have placed the added burden to doctors’ daily clinical work, some to the extent of quitting, burnout, and even suicide. The administrative burden is not unique to healthcare; nevertheless, the medical community and health industry as a whole …

GTCR and Cedar Gate Technologies Announce Acquisition of Citra Health Solutions | 6/29/2020

… the GTCR Leaders Strategy™ at work. GTCR partnered with Mr. Snow to form Cedar Gate and pursue the strategy of building a market-leading healthcare technology company that helped the healthcare industry shift to value-based reimbursement from traditional fee-for-service. Mr. Snow is a 30+ year healthcare industry veteran, having previously served as Chairman and CEO of Medco, one of the nation’s largest pharmacy benefit managers. During Mr …

COVID-19 Forces Value-Based Reimbursement Model Revision | 6/28/2020

COVID-19 Forces Value-Based Reimbursement Model Revision By Health Capital Consultants, LLC On June 3, 2020, Seema Verma, the Administrator of the Centers for Medicare & Medicaid Services (CMS), announced in a Health Affairs article that CMS is providing significantly more flexibility for healthcare entities participating in CMS-sponsored value-based reimbursement (VBR) models for the duration of the COVID-19 pandemic. CMS has made a number of changes related …

The Continuous Evolution of Exam Chairs | 6/23/2020

… for a medical examination – a scenario that frequently hampered opportunities for accessibility and contributed significantly to white coat syndrome. Fast forward to today, innovations in the healthcare system (e.g., evolving demographics, advancements in technology, value-based reimbursement ) are continuing to develop and reinvent the exam table as a clinical platform where diagnosis, patient interaction, and treatment coalesce to maximize the quality of care. Nowadays, an exam table is no longer …

CMS: Value-Based Reimbursement Key to Addressing Health Disparities | 6/23/2020

Value-Based Care News CMS: Value-Based Reimbursement Key to Addressing Health Disparities Value-based reimbursement encourages clinicians to care for the whole person, which is essential to addressing health disparities demonstrated by claims data from the COVID-19 crisis, CMS says. Source: Centers for Medicare & Medicaid Services By June 23, 2020 - Article updated 06/24/2020 to include a statement from the National Association of ACOs. Health disparities proven by Medicare …

Adjustments to transitions in health care delivery - One Academy Essays | 6/19/2020

Adjustments to transitions in health care delivery Consider what you’ve learned so far about the transition from volume- to value-based reimbursement . Different organizations will respond to the impact of this change in various ways. Based on its actions, an organization may flourish, or it may fail as its reimbursement decreases. As reimbursement methodology changes, institutions must adapt. To prepare for this Assignment: Read Case 5: Middleboro Community Hospital in …

How FHIR Can Build a Better Healthcare System | 6/18/2020

… a pressing issue. There are three major reasons why FHIR’s data-sharing abilities will make a big difference. Payers and providers will have better collaboration The entire industry is currently working on creating a value-based reimbursement model, which relies on how easily payers and providers can share data. With FHIR, the costs of sharing data will be decreased while it will be easier to coordinate care and prevention as …

4 Use Cases for Natural Language Processing (NLP) in Healthcare | 6/17/2020

… and locations. This type of data mining in healthcare, made possible by NLP, can help reduce subjectivity in decision-making and help organizations deliver better, more efficient care to patients. Meanwhile, the shift to value-based reimbursement means healthcare organizations need to measure provider performance and identify gaps in care for reporting to payers and regulators. The value-based care model incentivizes both providers and payers to demonstrate positive patient …

Coronavirus May Reshape Investment, Value-Based Reimbursement | 6/16/2020

Value-Based Care News Coronavirus May Reshape Investment, Value-Based Reimbursement The coronavirus pandemic will reshape where and how organizations invest moving forward, according to industry leaders at the Value-Based Care Summit Telehealth20: Virtual Series. Source: Getty Images By June 16, 2020 - Investment strategies and value-based reimbursement models will change as organizations continue to combat the coronavirus and move towards the future, according to insights from the Value …

Healthcare IT Market Worth $511.06 Billion by 2027, Growing at a CAGR of 13.8% from 2019- Global Opportunity Analysis and Industry Forecasts by Meticulous Research® | 6/16/2020

… payer-provider mergers, partnerships, and joint ventures, to address fragmented healthcare delivery, emphasize patient-centered care, and promote care coordination, thereby aligning the goals and incentives among payers, providers, and patients. This evolution towards value-based reimbursement benefits all three stakeholders of the healthcare industry, including the patient, healthcare providers, and payers. Value-based reimbursement encourages healthcare providers to deliver the best care at the lowest cost. In turn, patients …

Healthcare IT Market Worth $511.06 Billion by 2027, Growing at a CAGR of 13.8% from 2019- Global Opportunity Analysis and Industry Forecasts by Meticulous Research® | Benzinga | 6/16/2020

… payer-provider mergers, partnerships, and joint ventures, to address fragmented healthcare delivery, emphasize patient-centered care, and promote care coordination, thereby aligning the goals and incentives among payers, providers, and patients. This evolution towards value-based reimbursement benefits all three stakeholders of the healthcare industry, including the patient, healthcare providers, and payers. Value-based reimbursement encourages healthcare providers to deliver the best care at the lowest cost. In turn, patients …

A guide to pop health IT vendors and SDOH tools | 6/13/2020

… and SDOH tools June 13, 2020 ZeOmega Editor’s note: This story will be continually updated, with new vendors added to the list. As health systems work to meet the imperatives of quality improvement and value-based reimbursement , they’re deploying analytics tools to manage patient populations, gain insights into the needs of specific groups and direct care resources to those who need them most. The technology available to help providers meet …

A guide to pop health IT vendors and SDOH tools | Healthcare IT News | 6/12/2020

… of health. June 12, 2020 12:53 PM Editor’s note: This story will be continually updated, with new vendors added to the list. As health systems work to meet the imperatives of quality improvement and value-based reimbursement , they’re deploying analytics tools to manage patient populations, gain insights into the needs of specific groups and direct care resources to those who need them most. The technology available to help providers meet …

Telehealth

EnSoftek’s DrCloudEHR | Telehealth Achieves Record Growth | 5/1/2020

EnSoftek’s DrCloudEHR Telehealth Achieves Record Growth Share Article Many agencies continue delivering services during Shelter-in-Place orders across the Country with DrCloudEHR Telehealth marking record growth for EnSoftek. “When the COVID-19 crisis struck … more specifically the behavioral health industry continues to shift toward value-based reimbursement models, providers are increasingly utilizing technology to increase client satisfaction and show greater outcomes as compared to other providers across the healthcare …

COVID-19

How technology, aging populations and a global pandemic are reshaping healthcare — Insights for hospital leaders | Becker’s Hospital Review | 5/1/2020

… at Cardinal Health. She discussed how macro trends are impacting healthcare and how companies are responding. Our discussion happened before COVID-19 had become a worldwide pandemic. We reached out to her again to see … industry to think differently about reimbursement models for these therapeutics. Value-based reimbursement is emerging, as are new payment mechanisms such as subscriptions. Holcomb said, “Biosimilars are an important area to watch because they may …

Medicaid

OK Submits Healthy Adult Opportunity Waiver to Expand Medicaid | HealthPayer Intelligence | 4/22/2020

Public Payers News OK Submits Healthy Adult Opportunity Waiver to Expand Medicaid Oklahoma’s Healthy Adult Opportunity demonstration waiver would also implement work requirements and charge beneficiaries monthly premiums. Source: Getty Images By April 22, 2020 … Healthy Adult Opportunity waiver would also implement work requirements, provide value-based reimbursement to providers, and charge beneficiaries monthly premiums based on household income and the number of people in the household participating in the …

Medicare

Online Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond (May 18, 2020) | Globe Newswire | 4/21/2020

… program will give you the skills to succeed as a case manager or social worker in the new era of value-based reimbursement and accountable care. The world of healthcare is changing so rapidly and … has utilization management, transitional planning and compliance. The Centers for Medicare and Medicaid Services (CMS) has incorporated changes that impact on payments related to readmissions, length of stay and cost of care. Who is in …

Medicare Advantage

Highmark Expands Telehealth Opioid Treatment Program to Pennsylvania, Delaware during COVID-19 Crisis | 4/20/2020

… Program to Pennsylvania, Delaware during COVID-19 Crisis Share Article Highmark today announced that its commercial, Affordable Care Act and Medicare Advantage members in Pennsylvania and Delaware now have access to a comprehensive, technology-enabled … than $30 million in payments earned through Highmark’s True Performance value-based reimbursement program. About Highmark Inc. One of America’s leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association …

Department of Health and Human Services

Friday, April 10, 2020 | Kaiser Health News | 4/10/2020

… a desperate bid to get respirators, gloves and other supplies to doctors, nurses and other front-line workers. The U.S. Department of Health and Human Services confirmed Wednesday that the federal cupboard is officially bare … more than 1,700 local primary care practices participating in its value-based reimbursement program. The payments would normally be made in June but will begin going out this week. (Livingston, 4/9) The Hill: Coronavirus Double …

Electronic Medical Record

American Oncology Network Selects PatientPoint as Exclusive Patient Engagement Partner | PR Newswire | 12/3/2019

value-based reimbursement models that improve the patient experience and help to reduce the per-capita cost of cancer care. AON also provides a unique model of physician led, community-based oncology management. With services such as a centralized specialty pharmacy, diagnostics, pathology, fully integrated electronic medical records, a care management team and a variety of financial assistance programs, an alliance with AON ensures that patients’ experiences will be at …

Patient Engagement

American Oncology Network Selects PatientPoint as Exclusive Patient Engagement Partner | PR Newswire | 12/3/2019

American Oncology Network Selects PatientPoint as Exclusive Patient Engagement Partner PatientPoint platform to enhance community oncology experience at AON practices in seven states News provided by Dec 03, 2019, 12:37 ET Share this article CINCINNATI … guides its member physicians and practices through the transition to value-based reimbursement models that improve the patient experience and help to reduce the per-capita cost of cancer care. AON also provides a unique …

Mental Health

OPEN MINDS Announces Special Offer For Their 2020 Executive Institute Series | Globe Newswire | 11/26/2019

… Develop A New Service Line: An OPEN MINDS Seminar On Building A Diversification Strategy & Conducting A Feasibility Analysis Succeeding With Value-Based Reimbursement: An OPEN MINDS Executive Seminar On Organizational Competencies & Management Best Practices For … with specific expertise and experience in nine key market areas – mental health, addictions, chronic conditions, autism and intellectual/developmental disabilities, long-term care, children’s services, social services, juvenile justice, and corrections health care. Our mission …

Patient Satisfaction

AMA Bolsters Healthcare Economics Training for Future Physicians | RevCycle Intelligence | 11/25/2019

… value-based reimbursement, which links payments to the value of care. These value-based reimbursement models intend to drive down healthcare costs, enhance quality of care, and improve patient satisfaction. The healthcare industry is on its way to eliminating fee-for-service. Specifically, 39.1 percent of healthcare payments made in 2018 were through a fee-for-service with no relation to quality or value, according to an analysis of 62 …

American Medical Association

AMA Bolsters Healthcare Economics Training for Future Physicians | RevCycle Intelligence | 11/25/2019

… to boost healthcare economics training by adding content related to the structure and financing of the modern healthcare system. The American Medical Association (AMA) adopted a new policy calling on all medical schools and residency … pays providers based on the volume of services rendered, to value-based reimbursement, which links payments to the value of care. These value-based reimbursement models intend to drive down healthcare costs, enhance quality of …

AMA

AMA Bolsters Healthcare Economics Training for Future Physicians | RevCycle Intelligence | 11/25/2019

Policy & Regulation News AMA Bolsters Healthcare Economics Training for Future Physicians The AMA calls on medical schools to boost healthcare economics training by adding content related to the structure and financing of the modern healthcare … pays providers based on the volume of services rendered, to value-based reimbursement, which links payments to the value of care. These value-based reimbursement models intend to drive down healthcare costs, enhance quality of …

Clinical Research

American Oncology Network Expands Participation in Oncology Care Model | Globe Newswire | 11/25/2019

… to provide enhanced services to their patients, such as an in-house specialty pharmacy, world-class pathology lab and national clinical research, as well as the ability to participate in the Oncology Care Model, which … guides its member physicians and practices through the transition to value-based reimbursement models that improve the patient experience and help to reduce the per-capita cost of cancer care. AON also provides a unique …

Digital Health

Humana enjoys major savings after shifting to value-based care - Business Insider | 11/22/2019

Digital Health Pro subscribers earlier this morning. To get this story plus others to your inbox each day, hours before they’re published on Business Insider, click here. Health insurance giant Humana is cashing in on its transition to value-based care (VBC): Medical costs for its Medicare Advantage (MA) members in plans with value-based reimbursement were 20% lower compared with costs for seniors in traditional fee-for-service Medicare …

Population Health

Humana Improves Health and Reduces $3.5 Billion in Health Care Costs through Medicare Advantage Value-Based Care Programs | Business Wire | 11/21/2019

population health and reduces costs for everyone.” Humana’s Report Methodology The 2018 results, as with the previous results, cannot be directly compared year over year due to multiple demographic changes in Humana’s member population. Humana compared quality metrics and prevention measures for calendar year 2018 for approximately 1.85 million Medicare Advantage members who were affiliated with providers in value-based reimbursement model agreements to approximately 848,000 members who were affiliated …

Behavioral Health

Humana Improves Health and Reduces $3.5 Billion in Health Care Costs through Medicare Advantage Value-Based Care Programs | Business Wire | 11/21/2019

… and prevention measures for calendar year 2018 for approximately 1.85 million Medicare Advantage members who were affiliated with providers in value-based reimbursement model agreements to approximately 848,000 members who were affiliated with providers under … clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective …

Home Care

Humana Improves Health and Reduces $3.5 Billion in Health Care Costs through Medicare Advantage Value-Based Care Programs | Business Wire | 11/21/2019

… and prevention measures for calendar year 2018 for approximately 1.85 million Medicare Advantage members who were affiliated with providers in value-based reimbursement model agreements to approximately 848,000 members who were affiliated with providers under … range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and …

Medication Adherence

Humana Improves Health and Reduces $3.5 Billion in Health Care Costs through Medicare Advantage Value-Based Care Programs | Business Wire | 11/21/2019

… and social isolation. The report also explores how physicians are engaging and supporting patients in promoting healthier behaviors such as medication adherence and meeting specified clinical goals. This is the third year that the company … million Medicare Advantage members who were affiliated with providers in value-based reimbursement model agreements to approximately 848,000 members who were affiliated with providers under standard Medicare Advantage settings. Humana also compared medical cost and …

Coordinated Care

The Oncology Care Model Value Proposition - Nashville Medical News | 11/18/2019

… Seeking the Win/Win/Win for Patients, Practices, Payers At this point in the move from fee-for-service to value-based reimbursement, everyone in healthcare is familiar with the triple aim of improving the … Model (OCM) is to save dollars while providing high-quality, coordinated care, Schleicher said there is an absolute ‘patients first’ mentality. With many novel oncologic drugs costing thousands of dollars, Schleicher stressed OCM doesn’t look …

Bundled Payments

Post-acute providers often lack budget to implement critical health IT | Healthcare IT News | 11/15/2019

value-based reimbursement reforms affect both the acute-care and long-term and post-acute care markets, patient data-sharing is essential for reducing readmission rates and advancing outcomes,” he said. Brown pointed out the lack of data and analysis is excluding most long-term and post-acute providers from value-based care programming. Meanwhile, the design of some of those initiatives, such as bundled payments and shared risk, could …

Electronic Health Records

Post-acute providers often lack budget to implement critical health IT | Healthcare IT News | 11/15/2019

… care, particularly under value-based care models,” Doug Brown, founder of Black Book Research, told Healthcare IT News. “As more value-based reimbursement reforms affect both the acute-care and long-term and post-acute … to coordinate data from acute care providers to their existing electronic health records, post-acute providers will be increasingly unable to deliver the type of care mandated by CMS, which Brown said would “certainly negatively …

Home Health

Post-acute providers often lack budget to implement critical health IT | Healthcare IT News | 11/15/2019

… care, particularly under value-based care models,” Doug Brown, founder of Black Book Research, told Healthcare IT News. “As more value-based reimbursement reforms affect both the acute-care and long-term and post-acute … inclusion by focusing on the role of skilled nursing, rehabilitation, home health and sub-acute providers. Nathan Eddy is a healthcare and technology freelancer based in Berlin. Email the writer: Healthcare IT News is a …

HIMSS

Post-acute providers often lack budget to implement critical health IT | Healthcare IT News | 11/15/2019

… care, particularly under value-based care models,” Doug Brown, founder of Black Book Research, told Healthcare IT News. “As more value-based reimbursement reforms affect both the acute-care and long-term and post-acute … Email the writer: Healthcare IT News is a publication of HIMSS Media. Topics …

Clinical Data

Clinigence Holdings and Accountable Healthcare America Sign Letter of Intent to Merge | Business Wire | 11/13/2019

… FT. LAUDERDALE, Fla.–(BUSINESS WIRE)–Nov 12, 2019– Clinigence Holdings, Inc. (“Clinigence” or the “Company”) (OTC: IGMBD), a pioneer in clinical data integration, clinical quality reporting and population health analytics, and Accountable Healthcare America, Inc … transition of U.S. healthcare from fee-for-service payments to value-based reimbursements, including full-risk, global capitation models. The platform would also address another major theme in U.S. healthcare: faced with mounting costs, shifting …

Patient Monitoring

Clinigence Holdings and Accountable Healthcare America Sign Letter of Intent to Merge | Business Wire | 11/13/2019

… patient monitoring. The combination of the two companies, if it is consummated, would fuse one of the leading healthcare information technology companies with one of the leading medical management companies to form a unique, scalable operating platform that would be well positioned for the ongoing transition of U.S. healthcare from fee-for-service payments to value-based reimbursements, including full-risk, global capitation models. The platform would also address another …

Health Catalyst

Health Catalyst to acquire Vitalware and forms new partnership with Northwell | Healthcare IT News | 8/13/2020

… At Northwell, the same platform will help mine data for clinical, financial and operational improvements. August 13, 2020 02:56 PM Health Catalyst made news on a couple different fronts this week, as it announced its … help providers manage the complex regulatory and compliance demands of value-based reimbursement. The deal , expected to close later this year, is for an aggregate purchase price of about $120 million, with an earnout of …

NxStage

Executive Spotlight—DaVita Kidney Care’s new CMO talks about changing care models, COVID-19 impact | FierceHealthcare | 4/6/2020

… including nurses, local dialysis leaders, biomedical experts, the hospital’s acute dialysis medical director and colleagues from the dialysis machine manufacturer, NxStage, to come up with a low-water utilization dialysis workaround. COVID- “I’ve always been … preventing illness. With the move from volume-based reimbursement to value-based reimbursement, there’s a greater ability for physicians and organizations to thrive both financially and otherwise in preventing illness and taking care of patients …

Xtelligent Healthcare Media

Value-Based Care Assessment Calls for Payer-Provider Collaboration | HealthPayer Intelligence | 3/27/2020

… and providers must align their definitions of value and communicate more effectively to succeed in value-based care, according to Xtelligent Healthcare Media’s recent Value-Based Care Assessment. Source: Getty Images By March 27, 2020 … whether they have the resources to succeed. Dig Deeper Implementing Value-Based Reimbursement in Behavioral Healthcare A recent study by Insights, the research division of Xtelligent Healthcare Media, revealed that many organizations still heavily rely …

UnitedHealth Group

Humana enjoys major savings after shifting to value-based care - Business Insider | 11/22/2019

… in on its transition to value-based care (VBC): Medical costs for its Medicare Advantage (MA) members in plans with value-based reimbursement were 20% lower compared with costs for seniors in traditional fee-for … the fastest transition and the most cost savings: For example, UnitedHealth Group is leveraging its analytics tools to connect partnered providers and establish a “digital ecosystem” to set up a value-based payment structure. Want …

Verscend

Healthcare Analytics Market Size Worth US$ 52.2 Bn by 2026 | Globe Newswire | 11/13/2019

… forecast period. This can be attributed to the high Electronic Health Record (EHR) adoption, supporting government initiatives for personalized medicine, value-based reimbursement, awareness about population health management, and presence of key industry leaders in … McKesson Corporation, MedeAnalytics, SAS Institute, Inc., Inc., SCIO Health Analytics, Verscend Technologies, Inc., VitreosHealth, and Wipro Limited. Mergers, acquisitions, and R&D investment have been the most adopted strategies by market players to enhance their …

Clinigence

Clinigence Holdings and Accountable Healthcare America Sign Letter of Intent to Merge | Business Wire | 11/13/2019

Clinigence Holdings and Accountable Healthcare America Sign Letter of Intent to Merge Nov 12, 2019 Save ATLANTA & FT. LAUDERDALE, Fla.–(BUSINESS WIRE)–Nov 12, 2019– Clinigence Holdings, Inc. (“Clinigence” or the “Company”) (OTC: IGMBD), a … transition of U.S. healthcare from fee-for-service payments to value-based reimbursements, including full-risk, global capitation models. The platform would also address another major theme in U.S. healthcare: faced with mounting costs, shifting …

SCIO Health Analytics

Healthcare Analytics Market Size Worth US$ 52.2 Bn by 2026 | Globe Newswire | 11/13/2019

… forecast period. This can be attributed to the high Electronic Health Record (EHR) adoption, supporting government initiatives for personalized medicine, value-based reimbursement, awareness about population health management, and presence of key industry leaders in … Corporation, Optum, Inc., McKesson Corporation, MedeAnalytics, SAS Institute, Inc., Inc., SCIO Health Analytics, Verscend Technologies, Inc., VitreosHealth, and Wipro Limited. Mergers, acquisitions, and R&D investment have been the most adopted strategies by market players …

Qualifacts

Solving Value-Based Reimbursement Challenges With Real Data: One Provider’s Story For Leveraging Technology & Data To Drive Performance — Free Executive Web Briefing, Hosted By OPEN MINDS | Globe Newswire | 11/7/2019

… needs to integrating that technology to drive performance results – your technology choices are a key element to success in a value-based reimbursement environment. Data – performance management, driven by data is crucial for value-based … sponsored by Value Based Care for Behavioral Health, powered by Qualifacts CareLogic. Join speakers Roy Leitstein, CEO, Legacy Treatment Services and Ken Carr, Senior Associate, OPEN MINDS , for this executive web briefing, a follow-up …

Change Healthcare

More States Require Value-Based Reimbursement in Medicaid | RevCycle Intelligence | 10/23/2019

Value-Based Care News More States Require Value-Based Reimbursement in Medicaid Value-based reimbursement is a requirement for 28 of the 40 states with Medicaid managed care, according to a recent report. Source: Thinkstock … seven-fold increase compared to five years ago, a new Change Healthcare shows. The second national study of state healthcare payment programs also found that about one-half of the value-based reimbursement initiatives were …

Innovaccer

Innovaccer Launches Its Web Interface Reporting Solution to Help Providers Overcome Quality Reporting Challenges | 10/9/2019

… care.Innovaccer Inc., the leading San Francisco-based healthcare data activation company, launched its GPRO reporting solution that aims to automate quality reporting and assists providers in closing the prevalent care gaps. It helps to identify and fill the data gaps and also monitors the overall reporting status to assist users in maximizing value-based reimbursements.To facilitate the process of quality evaluation, the solution gives a headstart to the providers through …

Optum

Optums Alison Nelson & Jonathan Linkous Of Partnership For Artificial Intelligence, Telemedicine & Robotics In Healthcare, Headline The Final Program For The 2019 OPEN MINDS Technology & Informatics Institute - Financialbuzz.com | 10/2/2019

… value-based reimbursement, to success in the new financial normal. Keynote speakers include: Alison Nelson, Senior Vice President for Optum Technology, Optum Jonathan D. Linkous, MPA, FATA (Fellow of the American Telemedicine Association), Chief Executive Officer, The Partnership For Artificial Intelligence, Telemedicine & Robotics In Healthcare (PATH) The Institute will feature many high-profile faculty members from leading organizations throughout the country, including: Richard G. Allen, Psy.D., BCBA-D, NCSP, Supervising …

Cerner

What population health IT vendors are doing to support SDOH | Healthcare IT News | 9/5/2019

… on clinical factors,” said Dr. Joseph Siemienczuk, chief medical officer at Enli Health Intelligence, a population health IT vendor. “As value-based reimbursement increases in prevalence, health systems are inclined to better understand all attributed … said Dr. Tanuj Gupta, senior director and physician executive at Cerner. “If a person doesn’t have to worry about where their next meal is coming from, they may have more time and energy to focus …

Anthem, Inc.

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | The Wapakoneta Daily News | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … Quality Initiatives, Shatterproof, Eric Bailly, LPC, LADC, Business Solutions Director, Anthem, Inc. and Doug Nemecek, M.D., MBA, Chief Medical Officer – Behavioral Health, Cigna in their plenary address: Quality Measurement In Addiction Treatment: Advancing Adoption Of …

OptumHealth

OptumHealth’s Mike Hammond To Keynote The 2019 OPEN MINDS Executive Leadership Retreat | Globe Newswire | 8/22/2019

… Aug. 22, 2019 (GLOBE NEWSWIRE) – OPEN MINDS has announced Michael J. Hammond, MSM, Vice President, Product and Partnership Development at OptumHealth will present a keynote address at the The 2019 OPEN MINDS Executive Leadership Retreat … teams need to move their organization from the concept of value-based reimbursement to success in the new financial normal. Each day, sessions will be held throughout historic Gettysburg providing a unique learning experience and …

MEDITECH

How Meditech plans to tackle CMS’ new home health payment model | Becker’s Hospital Review | 7/15/2019

How Meditech plans to tackle CMS’ new home health payment model Jackie Drees - Print Email Meditech is developing a new feature for its home care software in response to CMS’ new Patient-Driven Groupings Model, which supports value-based reimbursement for home health agencies. CMS will implement PDGM by January 2020. CMS said the new case-mix methodology, along with other changes in the Home Health Quality Reporting Program, will …

McKesson

IPO Update: Health Catalyst Proposes IPO Terms - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/15/2019

… value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions include: Epic Systems Cerner ( CERN ) IBM ( IBM ) SAS Institute Allscripts ( MDRX ) McKesson Corporation ( MCK ) MedeAnalytics Inovalon ( INOV ) Oracle ( ORCL ) Source: Sentieo Financial Performance HCAT’s recent financial results can be summarized as follows: Strong and accelerating growth in topline revenue Uneven gross profit but increasing gross margin Reduced operating loss and improving operating margin Decreased cash …

Zynx Health

With Quality a Top Priority, Ardent Health Services Expands Its Use of Zynx Health’s Knowledge Analyzer | PR Newswire | 7/9/2019

LOS ANGELES Zynx Health ™, market leader in providing evidence- and experience-based clinical improvement solutions since 1996, announced today that long-time client Ardent Health Services is expanding its agreement for use of Zynx’s Knowledge … demands for delivering high-quality care at lower costs under value-based reimbursement models. To learn more, visit zynxhealth.com or call 888.996.9435. About Ardent Health Services Ardent Health Services invests in people, technology, facilities and …

First Databank

With Quality a Top Priority, Ardent Health Services Expands Its Use of Zynx Health’s Knowledge Analyzer | PR Newswire | 7/9/2019

… and technology performance. With Zynx Health, healthcare organizations exceed industry demands for delivering high-quality care at lower costs under value-based reimbursement models. To learn more, visit zynxhealth.com or call 888.996.9435. About Ardent Health … 3.2 billion dispensed prescriptions. The Hearst Health network includes FDB (First Databank), Zynx Health, MCG, Homecare Homebase, MHK (formerly MedHOK—Medical House of Knowledge) and Hearst Health Ventures ( www.hearsthealth.com ). Hearst also holds a minority interest …

MedHOK

With Quality a Top Priority, Ardent Health Services Expands Its Use of Zynx Health’s Knowledge Analyzer | PR Newswire | 7/9/2019

… and technology performance. With Zynx Health, healthcare organizations exceed industry demands for delivering high-quality care at lower costs under value-based reimbursement models. To learn more, visit zynxhealth.com or call 888.996.9435. About Ardent Health … FDB (First Databank), Zynx Health, MCG, Homecare Homebase, MHK (formerly MedHOK—Medical House of Knowledge) and Hearst Health Ventures ( www.hearsthealth.com ). Hearst also holds a minority interest in the precision medicine and oncology analytics company M2Gen …

Homecare Homebase

With Quality a Top Priority, Ardent Health Services Expands Its Use of Zynx Health’s Knowledge Analyzer | PR Newswire | 7/9/2019

… and technology performance. With Zynx Health, healthcare organizations exceed industry demands for delivering high-quality care at lower costs under value-based reimbursement models. To learn more, visit zynxhealth.com or call 888.996.9435. About Ardent Health … Hearst Health network includes FDB (First Databank), Zynx Health, MCG, Homecare Homebase, MHK (formerly MedHOK—Medical House of Knowledge) and Hearst Health Ventures ( www.hearsthealth.com ). Hearst also holds a minority interest in the precision medicine and …

Hearst Health

With Quality a Top Priority, Ardent Health Services Expands Its Use of Zynx Health’s Knowledge Analyzer | PR Newswire | 7/9/2019

… to working with them to drive even greater success in the future.” About Zynx Health Zynx Health, part of the Hearst Health network, provides healthcare professionals with vital information and processes that guide care decisions … demands for delivering high-quality care at lower costs under value-based reimbursement models. To learn more, visit zynxhealth.com or call 888.996.9435. About Ardent Health Services Ardent Health Services invests in people, technology, facilities and …

Allscripts

Patient check-in software company Phreesia files for $125M IPO | MedCity News | 6/25/2019

… including mobile devices, web-based dashboard, tablets and on-site kiosks. Phreesia has also signed commercial deals with athenahealth and Allscripts to integrate the company’s offerings with its partners’ existing EHR and health IT systems … patients as a payer of healthcare costs, the shift to value-based reimbursement models and a focus on personalized healthcare that feeds into the company’s marketing business. Phreesia tagged the total market opportunity for its …

Medidata

Medidata (MDSO) to be Acquired by Dassault for $5.8 Billion - June 14, 2019 - Zacks.com | 6/14/2019

Medidata Solutions, Inc. ( MDSO - Free Report ) recently announced that it is getting acquired by French Technology stalwart Dassault Systèmes in an all-cash transaction at a price of $ 92.25 per share, representing an enterprise value … been the key driver of the U.S. healthcare space lately. Value-based reimbursement, shrinking hospital margins and record-high healthcare spending are pushing providers to consider new partnerships to achieve efficiency and cost control. Recently …

Medidata Solutions

Medidata (MDSO) to be Acquired by Dassault for $5.8 Billion - June 14, 2019 - Zacks.com | 6/14/2019

Medidata Solutions, Inc. ( MDSO - Free Report ) recently announced that it is getting acquired by French Technology stalwart Dassault Systèmes in an all-cash transaction at a price of $ 92.25 per share, representing an enterprise value … been the key driver of the U.S. healthcare space lately. Value-based reimbursement, shrinking hospital margins and record-high healthcare spending are pushing providers to consider new partnerships to achieve efficiency and cost control. Recently …

MobileHelp Healthcare

MobileHelp® Healthcare Shares Tools for Home Health Agency Value-based Reimbursement | PR Newswire | 5/30/2019

… value-based reimbursement models from the Centers for Medicare and Medicaid Services (CMS), scheduled to go into effect in late 2019 and early 2020. In addition to showcasing the RPM solution Casamba is utilizing at the conference, Chris A. Otto , Senior Vice President of MobileHelp Healthcare, will join in one of the highlighted customer conference panel discussions titled, “ Gaining Efficiencies with Remote Patient Monitoring and Telehealth for Home Health and …

SunTrust Robinson Humphrey

IPO Update: Health Catalyst Proposes IPO Terms - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/15/2019

… costs, increasing regulatory requirements, rise in EHR adoption; and increasing government initiatives focusing on personalized medicine, population health management, and value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions … Morgan, William Blair, Piper Jaffray, Evercore ISI, SVB Leerink, and SunTrust Robinson Humphrey. Commentary I previously wrote about Health Catalysts IPO prospects in my analysis, First Look Health Catalyst Files For $100 Million IPO . In …

Health Catalyst Starts U.S. IPO Process - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/5/2019

… costs, increasing regulatory requirements, rise in EHR adoption; and increasing government initiatives focusing on personalized medicine, population health management, and value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions … JPMorgan, William Blair, Piper Jaffray, Evercore ISI, SVB Leerink, and SunTrust Robinson Humphrey. Commentary HCAT is a promising healthcare data provider seeking public capital from U.S. investors. The firm has a top quality venture capital …

William Blair

IPO Update: Health Catalyst Proposes IPO Terms - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/15/2019

… costs, increasing regulatory requirements, rise in EHR adoption; and increasing government initiatives focusing on personalized medicine, population health management, and value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions … Listed underwriters of the IPO are Goldman Sachs, J.P. Morgan, William Blair, Piper Jaffray, Evercore ISI, SVB Leerink, and SunTrust Robinson Humphrey. Commentary I previously wrote about Health Catalysts IPO prospects in my analysis, First …

Health Catalyst Starts U.S. IPO Process - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/5/2019

… costs, increasing regulatory requirements, rise in EHR adoption; and increasing government initiatives focusing on personalized medicine, population health management, and value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions … yet. Listed underwriters of the IPO are Goldman Sachs, JPMorgan, William Blair, Piper Jaffray, Evercore ISI, SVB Leerink, and SunTrust Robinson Humphrey. Commentary HCAT is a promising healthcare data provider seeking public capital from U.S …

Hearst Health Ventures

With Quality a Top Priority, Ardent Health Services Expands Its Use of Zynx Health’s Knowledge Analyzer | PR Newswire | 7/9/2019

… and technology performance. With Zynx Health, healthcare organizations exceed industry demands for delivering high-quality care at lower costs under value-based reimbursement models. To learn more, visit zynxhealth.com or call 888.996.9435. About Ardent Health … Homecare Homebase, MHK (formerly MedHOK—Medical House of Knowledge) and Hearst Health Ventures ( www.hearsthealth.com ). Hearst also holds a minority interest in the precision medicine and oncology analytics company M2Gen. Follow Hearst Health on Twitter @HearstHealth …

Zynx Health to Host Webinar: “Zynx FHIR API: Your Shortcut to App Excellence” | PR Newswire | 11/2/2017

… value-based reimbursement models. To learn more, visit zynxhealth.com or call 855.367.ZYNX. About Hearst Health The Hearst Health network includes FDB (First Databank), Zynx Health, MCG, Homecare Homebase, MedHOK, Hearst Health International, Hearst Health Ventures and the Hearst Health Innovation Lab ( www.hearsthealth.com ). The mission of the Hearst Health network is to help guide the most important care moments by delivering vital information into the hands of everyone who touches …

Wells Fargo Securities

Evolent Health, Inc. (EVH) CEO Frank Williams on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 5/8/2019

… CEO & Chairman Nicholas McGrane - CFO Conference Call Participants Ryan Daniels - William Blair & Company Robert Jones - Goldman Sachs Group James Stockton - Wells Fargo Securities Sean Wieland - Piper Jaffray Companies Anne Samuel - JPMorgan Chase & Co. Richard Close … ACOs with clinical support infrastructure to help them succeed in value-based reimbursement arrangements. Increasingly, we’re focused on align partnership models and careful market selection. The goal is to find the right partners and situations …

Anthem, Inc. (ANTM) CEO Gail Boudreaux on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 4/24/2019

… Nephron Research Charles Rhyee - Cowen A.J. Rice - Credit Suisse Justin Lake - Wolfe Research Matt Borsch - BMO Capital Markets Peter Costa - Wells Fargo Securities Zachary Sopcak - Morgan Stanley Kevin Fischbeck - Bank of America Dave Windley - Jefferies … couple of things around product. We are moving heavily to value-based reimbursements. I think that’s also been a positive in terms of the alignment of our clinical programs with our value-based reimbursement network …

Morgan Stanley

Novartis (NVS) CEO Vasant Narasimhan on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 4/25/2019

… Bank Keyur Parekh - Goldman Sachs Richard Vosser - JPMorgan Florent Cespedes - Societe Generale Peter Welford - Jefferies Seamus Fernandez - Guggenheim Mark Purcell - Morgan Stanley Steve Scala - Cowen Simon Baker - Redburn Laura Sutcliffe - UBS Kerry Holford - Exane Emmanuel … if I remember correctly, you gave upper end of a value-based reimbursement for Zolgensma at $5 million per patient. Does the data from the further follow-up of STR1VE still support that analysis? And …

Novartis AG (NVS) CEO Vasant Narasimhan on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 4/25/2019

… Bank Keyur Parekh - Goldman Sachs Richard Vosser - JPMorgan Florent Cespedes - Societe Generale Peter Welford - Jefferies Seamus Fernandez - Guggenheim Mark Purcell - Morgan Stanley Steve Scala - Cowen Simon Baker - Redburn Laura Sutcliffe - UBS Kerry Holford - Exane Emmanuel … if I remember correctly, you gave upper end of a value-based reimbursement for Zolgensma at $5 million per patient. Does the data from the further follow-up of STR1VE still support that analysis? And …

Merrill Lynch

ApolloMed And Network Medical Management Announce Completion Of Merger And Listing On The Nasdaq Capital Market | PR Newswire | 12/11/2017

… value-based reimbursements.” “We would like to thank our existing shareholders and welcome our new shareholders,” stated Gary Augusta, President of Apollo Medical Holdings. “This merger, along with our listing on NASDAQ, are important milestones as we continue to build shareholder value.” Advisors BofA Merrill Lynch acted as exclusive financial advisor to ApolloMed. McDermott Will & Emery served as legal counsel to ApolloMed. Vantage Point Advisors acted as exclusive financial advisor …

ApolloMed And Network Medical Management Announce Completion Of Merger And Listing On The Nasdaq | PR Newswire | 12/11/2017

… value-based reimbursements.” “We would like to thank our existing shareholders and welcome our new shareholders,” stated Gary Augusta, President of Apollo Medical Holdings. “This merger, along with our listing on NASDAQ, are important milestones as we continue to build shareholder value.” Advisors BofA Merrill Lynch acted as exclusive financial advisor to ApolloMed. McDermott Will & Emery served as legal counsel to ApolloMed. Vantage Point Advisors acted as exclusive financial advisor …

Harvard Medical School

Patient experience is evolving as providers embrace telehealth | Healthcare IT News | 11/12/2019

… technology . Which is helpful, because telehealth is here to stay – and promises to make further inroads as the realities of value-based reimbursement make its many benefits too hard to ignore. At the Connected Health … Northwestern, explained. Dr. John Halamka, international healthcare innovation professor at Harvard Medical School, agreed, predicting a new era of “virtualist centers in what were formerly known as hospitals. It’s going to be the emergency department …

‘Telehealth titans’ discuss cost-savings of virtual care, describe the hospital of the future | Healthcare IT News | 10/25/2019

… panel this past week at the HIMSS Connected Health Conference in Boston, Dr. John Halamka, international healthcare innovation professor at Harvard Medical School, and four other telehealth experts tried to arrive at a definition of … think there is some virtual certainty around the trends of value-based reimbursement. If I were to fast forward 20 years in the future and think about where those care dollars are – what’s going to …

Kaiser Permanente

Despite Financial Incentives, Medical Imaging Rates Reaccelerating | RevCycle Intelligence | 9/5/2019

… to the study of more than 135 million imaging exams conducted by researchers at UC Davis, UC San Francisco, and Kaiser Permanente. Medical imaging rates for most tests and most age groups slowed in the … experts say. READ MORE: Reducing Low-Value Care Key to Value-Based Reimbursement Success “While research has shown that practice changes take time, our article also highlighted the way that Choosing Wisely has transformed the …

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | The Wapakoneta Daily News | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … Bechara Choucair, M.D., Senior Vice President & Chief Community Health Officer, Kaiser Permanente kicked off the Institute with his plenary address: Mind, Body, Community: Kaiser Permanente’s Unique Approach . Wednesday’s program was opened by Samantha Arsenault, MA …

Meridian Health

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … Chief Executive Officer, Envision Unlimited Donald Parker, LCSW, President, Hackensack Meridian Health Carrier Clinic Shaun Poulton, Chief Information Officer, Salisbury Management, Inc. Faith Richie, Senior Vice President, Development, Telecare Corporation Richard Rodriguez, Director, Behavioral Network …

OPEN MINDS Announces The Final Faculty List & Agenda For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 7/17/2019

… California. Focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to success in the new financial normal, The 2019 OPEN MINDS Management … of Compliance, Streamline Healthcare Solutions Donald Parker, LCSW, President, Hackensack Meridian Health Carrier Clinic Shaun Poulton, Chief Information Officer, Salisbury Management, Inc. Faith Richie, Senior Vice President, Development, Telecare Corporation Kim Scott, Chief Executive Officer …

Hackensack Meridian Health

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … President & Chief Executive Officer, Envision Unlimited Donald Parker, LCSW, President, Hackensack Meridian Health Carrier Clinic Shaun Poulton, Chief Information Officer, Salisbury Management, Inc. Faith Richie, Senior Vice President, Development, Telecare Corporation Richard Rodriguez, Director, Behavioral …

OPEN MINDS Announces The Final Faculty List & Agenda For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 7/17/2019

… California. Focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to success in the new financial normal, The 2019 OPEN MINDS Management … President of Compliance, Streamline Healthcare Solutions Donald Parker, LCSW, President, Hackensack Meridian Health Carrier Clinic Shaun Poulton, Chief Information Officer, Salisbury Management, Inc. Faith Richie, Senior Vice President, Development, Telecare Corporation Kim Scott, Chief Executive …

Hackensack Meridian

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … President & Chief Executive Officer, Envision Unlimited Donald Parker, LCSW, President, Hackensack Meridian Health Carrier Clinic Shaun Poulton, Chief Information Officer, Salisbury Management, Inc. Faith Richie, Senior Vice President, Development, Telecare Corporation Richard Rodriguez, Director, Behavioral …

OPEN MINDS Announces The Final Faculty List & Agenda For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 7/17/2019

… California. Focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to success in the new financial normal, The 2019 OPEN MINDS Management … President of Compliance, Streamline Healthcare Solutions Donald Parker, LCSW, President, Hackensack Meridian Health Carrier Clinic Shaun Poulton, Chief Information Officer, Salisbury Management, Inc. Faith Richie, Senior Vice President, Development, Telecare Corporation Kim Scott, Chief Executive …

Centerstone

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … and Counseling Services David C. Guth, Jr.,Chief Executive Officer, Centerstone Yanick (Nicky) Hazlewood, Esq., Vice President, Third Party Payer Contracting, LifeStance Health David Heffron, Vice President, Operations, Telecare Corporation Tracy Hockenberry, MA, NCC, LPC …

OPEN MINDS Announces The Final Faculty List & Agenda For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 7/17/2019

… California. Focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to success in the new financial normal, The 2019 OPEN MINDS Management … and Counseling Services David C. Guth, Jr.,Chief Executive Officer, Centerstone David Heffron, Vice President, Operations, Telecare Corporation Tracy Hockenberry, MA, NCC, LPC, Director of Business Systems, Salisbury Management, Inc. Scott Hoffman, Chief Financial Officer …

UPMC

IPO Update: Health Catalyst Proposes IPO Terms - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/15/2019

… well as 75 health systems facilitating the support of over 75 million patients. Investors in Health Catalyst included Sequoia Capital, UPMC, OrbiMed, Norwest Venture Partners, Kaiser Permanente Ventures, and Sands Capital Ventures. Source: Crunchbase Customer … government initiatives focusing on personalized medicine, population health management, and value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions include: Epic Systems Cerner ( CERN ) IBM ( IBM ) SAS Institute Allscripts …

Health Catalyst Starts U.S. IPO Process - Health Catalyst (Pending:HCAT) | Seeking Alpha | 7/5/2019

… well as 75 health systems facilitating the support of over 75 million patients. Investors in Health Catalyst included Sequoia Capital, UPMC, OrbiMed, Norwest Venture Partners, Kaiser Permanente Ventures, and Sands Capital Ventures. Source: Crunchbase Customer … government initiatives focusing on personalized medicine, population health management, and value-based reimbursements. Major competitors that provide or are developing healthcare data and analytics solutions include: Epic Systems Cerner ( CERN ) Optum ( UNH ) IBM ( IBM ) SAS …

Geisinger

Geisinger names Jaewon Ryu president, CEO | FierceHealthcare | 6/21/2019

by Tina Reed Jun 20, 2019 12:38pm Jaewon Ryu, M.D., succeeds David Feinberg, M.D., who left Geisinger earlier this year to assume a leadership role at Google. (Geisinger) Geisinger named Jaewon Ryu, M.D., its president … services organization assisting affiliated practices to adopt population health under value-based reimbursement. He also previously served as the chief medical officer at the University of Illinois Hospital and Health Sciences System in Chicago and …

Geisinger names Jaewon Ryu president, CEO | FierceHealthcare | 6/21/2019

Geisinger named Jaewon Ryu, M.D., its president and CEO. He will officially assume the role July 1 after serving as interim president and CEO since November. He was formerly chief medical officer. Ryu succeeds David … services organization assisting affiliated practices to adopt population health under value-based reimbursement. He also previously served as the chief medical officer at the University of Illinois Hospital and Health Sciences System in Chicago and …

Department of Veterans Affairs

Geisinger names Jaewon Ryu president, CEO | FierceHealthcare | 6/21/2019

… value-based reimbursement. He also previously served as the chief medical officer at the University of Illinois Hospital and Health Sciences System in Chicago and has held various leadership roles at Kaiser Permanente, the Centers for Medicare & Medicaid Services and as a White House Fellow at the Department of Veterans Affairs. Ryu is an emergency medicine physician with a license to practice in Pennsylvania and California and serves as a …

Geisinger names Jaewon Ryu president, CEO | FierceHealthcare | 6/21/2019

… value-based reimbursement. He also previously served as the chief medical officer at the University of Illinois Hospital and Health Sciences System in Chicago and has held various leadership roles at Kaiser Permanente, the Centers for Medicare & Medicaid Services and as a White House Fellow at the Department of Veterans Affairs. Ryu is an emergency medicine physician with a license to practice in Pennsylvania and California and serves as a …

Humana

Humana and the National Quality Forum Publish Population Health Paper in the New England Journal of Medicine - Business Wire | 4/23/2020

LOUISVILLE, Ky.- Physician leaders from Humana Inc. (NYSE: HUM) and the National Quality Forum (NQF) explore the impact that social, behavioral and environmental factors – such as access to healthy foods, safe environments and social support … of poor health have been an emphasis of more recent value-based reimbursement models, with the goal of preventing disease and keeping patients healthy. The analysis and recommendations in the NEJM article build on a …

Humana and the National Quality Forum Publish Population Health Paper in the New England Journal of Medicine | 4/23/2020

LOUISVILLE, Ky.–(BUSINESS WIRE)–Apr 23, 2020– Physician leaders from Humana Inc. (NYSE: HUM) and the National Quality Forum (NQF) explore the impact that social, behavioral and environmental factors – such as access to healthy foods … of poor health have been an emphasis of more recent value-based reimbursement models, with the goal of preventing disease and keeping patients healthy. The analysis and recommendations in the NEJM article build on a …

Cigna

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | The Wapakoneta Daily News | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … and Doug Nemecek, M.D., MBA, Chief Medical Officer – Behavioral Health, Cigna in their plenary address: Quality Measurement In Addiction Treatment: Advancing Adoption Of Best Practices . This all-inclusive program featured many industry thought leaders as …

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … and Doug Nemecek, M.D., MBA, Chief Medical Officer – Behavioral Health, Cigna in their plenary address: Quality Measurement In Addiction Treatment: Advancing Adoption Of Best Practices . This all-inclusive program featured many industry thought leaders as …

Aetna

Repp Health Releases Next Generation Location Intelligence Solution for Healthcare Providers | PR Newswire | 5/21/2019

… care process more efficiently, visually augment the move toward hospital “command and control centers” and help healthcare organizations prepare for value-based reimbursement. Putting the right people in the right place at the right time … businesses have included: Sachs Group, now part of IBM Watson, Aetna’s BSwift & SG2/Vizient. Mr. Sachs is a healthcare visionary who has brought his immense insights into optimizing the patient care process. Contact Repp Health …

Catasys Is Transforming Behavioral Health, Blooming Into Rapid Growth Stage - Catasys, Inc. (NASDAQ:CATS) | Seeking Alpha | 5/20/2019

… is driven by perpetually rising healthcare costs, a cost-growing income model. Payors including Medicare and Medicaid are migrating towards value-based reimbursement models that incentivize medical providers to improve efficiencies and quality of care … eight largest U.S. health insurers, including United Healthcare (NYSE: UNH ) , Aetna (NYSE: CVS ) and Humana (NYSE: HUM ) . These three insurers’ member populations surpass 100-million people alone . How’s it doing for investors? Over the past …

Health Net

ACO Clientele of Innovaccer Achieves More Than $68M in Shared Savings in 2016 | PR Newswire | 10/25/2017

… entailing the financial and quality results for three ACOs in FY 2016. Innovaccer As healthcare progresses through an array of value-based reimbursement models and strengthens patient-centric outcomes, ACOs now cover more than 32 … organizations, and several healthcare bastions such as Compass Medical, Catalyst Health Network, Rochester RHIO, Osler Health Network, El Paso HIE, etc. For more information, please visit innovaccer.com or follow us on Twitter @innovaccer. Press Contact …

ACO Clientele of Innovaccer Achieves More Than $68M in Shared Savings in 2016 | PR Newswire | 10/25/2017

… entailing the financial and quality results for three ACOs in FY 2016. Innovaccer As healthcare progresses through an array of value-based reimbursement models and strengthens patient-centric outcomes, ACOs now cover more than 32 … organizations, and several healthcare bastions such as Compass Medical, Catalyst Health Network, Rochester RHIO, Osler Health Network, El Paso HIE, etc. For more information, please visit innovaccer.com or follow us on Twitter @innovaccer. Press Contact …

William Shrank

Humana and the National Quality Forum Publish Population Health Paper in the New England Journal of Medicine - Business Wire | 4/23/2020

… consider this growing body of evidence as part of a comprehensive, 21 st century approach to risk adjustment.” A focus on upstream causes of poor health have been an emphasis of more recent value-based reimbursement models, with the goal of preventing disease and keeping patients healthy. The analysis and recommendations in the NEJM article build on a recent NQF and Humana collaboration, Food Insecurity and Health: Overcoming Food Insecurity …

Brad Prechtl

American Oncology Network Launches Telehealth Services in Response to Coronavirus (COVID-19) | Globe Newswire | 4/9/2020

… get through this unprecedented time in handling the coronavirus, we will continue to leverage our telehealth system,” said AON CEO Brad Prechtl, MBA . “These virtual visits not only allow providers to interact with patients in … guides its member physicians and practices through the transition to value-based reimbursement models that improve the patient experience and help to reduce the per-capita cost of cancer care. AON also provides a unique …

Doug Brown

Post-acute providers often lack budget to implement critical health IT | Healthcare IT News | 11/15/2019

… Doug Brown, founder of Black Book Research, told Healthcare IT News. “As more value-based reimbursement reforms affect both the acute-care and long-term and post-acute care markets, patient data-sharing is essential for reducing readmission rates and advancing outcomes,” he said. Brown pointed out the lack of data and analysis is excluding most long-term and post-acute providers from value-based care programming. Meanwhile, the design …

Warren Hosseinion

Clinigence Holdings and Accountable Healthcare America Sign Letter of Intent to Merge | Business Wire | 11/13/2019

… operating platform that would be well positioned for the ongoing transition of U.S. healthcare from fee-for-service payments to value-based reimbursements, including full-risk, global capitation models. The platform would also address another … warrants and other rights to acquire equity securities of Clinigence). Warren Hosseinion, M.D., current Chairman of Clinigence, and Fred Sternberg, current CEO and Chairman of AHA, will serve as Co-CEO’s and Co-Executive Chairmen …

Carolyn Wukitch

More States Require Value-Based Reimbursement in Medicaid | RevCycle Intelligence | 10/23/2019

Value-Based Care News More States Require Value-Based Reimbursement in Medicaid Value-based reimbursement is a requirement for 28 of the 40 states with Medicaid managed care, according to a recent report. Source: Thinkstock … around healthcare payment transformation will ultimately drive the commercial markets,” Carolyn Wukitch, senior vice president and general manager of network and financial management at Change Healthcare, stated in a press release . The increase in the …

Alex Azar

HHS Endorses Alternative Payment Model for Emergency Medicine | RevCycle Intelligence | 10/21/2019

… accept some financial risk for the decisions they make around discharge for certain episodes of acute unscheduled care. HHS Secretary Alex Azar agreed with ACEP. In a public comment letter, the head of HHS called … few Medicare alternative payment models available to them. Developing Medicare value-based reimbursement arrangements will be a critical first step, as private payers tend to model their alternative payment models on CMS demonstrations. The healthcare …

Chris A. Otto

Clear Arch Health RPM Solution Supports Chronic Care Management for Value-based Reimbursement | PR Newswire | 9/5/2019

… comprehensive patient care, which improves outcomes, patient satisfaction, and lowers cost of care. Today, with Medicare Part B, there is a way to directly cover the costs of implementing an RPM program,” said Chris A. Otto, Senior Vice President of Clear Arch Health. “We look forward to sharing how healthcare professionals can leverage remote patient monitoring solutions now and, in the future, to achieve those goals and be well positioned …

Bechara Choucair

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … service agreements with health plans. On Tuesday, August 13 th , Bechara Choucair, M.D., Senior Vice President & Chief Community Health Officer, Kaiser Permanente kicked off the Institute with his plenary address: Mind, Body, Community: Kaiser Permanente’s …

Mike Lyons

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … Health Roy Leitstein, MS, Chief Executive Officer, Legacy Treatment Services Mike Lyons, Strategy & General Counsel, Mosaic John Markley, MBA, Chief Executive Officer, Centerstone of Illinois Patrick Maynard, Ph.D., Chief Executive Officer, I Am Boundless, Inc …

John Markley

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … Officer, Legacy Treatment Services Mike Lyons, Strategy & General Counsel, Mosaic John Markley, MBA, Chief Executive Officer, Centerstone of Illinois Patrick Maynard, Ph.D., Chief Executive Officer, I Am Boundless, Inc. Guy Maytal, M.D., Chief Integrated Care …

David Heffron

250+ Executives Representing From Over 30 States Gathered In Long Beach For The 2019 OPEN MINDS Management Best Practices Institute | Globe Newswire | 8/22/2019

… event focused on the clinical and management best practices executive teams need to move their organization from the concept of value-based reimbursement to in the new financial normal. The week was set into motion … Hazlewood, Esq., Vice President, Third Party Payer Contracting, LifeStance Health David Heffron, Vice President, Operations, Telecare Corporation Tracy Hockenberry, MA, NCC, LPC, Director of Business Systems, Salisbury Management, Inc. Scott Hoffman, Chief Financial Officer, Mosaic …

Rice Powell

Fresenius Medical Care sees U.S. plans for changes to kidney disease care as positive reinforcement of company’s strategy | PR Newswire | 7/11/2019

… to promote home dialysis, improve access to transplants, and develop new, value-based care models for chronic kidney disease patients. Rice Powell, CEO of Fresenius Medical Care, said: “We congratulate the Administration on today’s announcement … medicine, and is a pioneer in testing flat-rate and value-based reimbursement models. The End Stage Renal Disease Seamless Care Organizations (ESCOs) of Fresenius Medical Care, which were established in close cooperation with the …

Jaewon Ryu

Geisinger names Jaewon Ryu president, CEO | FierceHealthcare | 6/21/2019

by Tina Reed Jun 20, 2019 12:38pm Jaewon Ryu, M.D., succeeds David Feinberg, M.D., who left Geisinger earlier this year to assume a leadership role at Google. (Geisinger) Geisinger named Jaewon Ryu, M.D., its president … services organization assisting affiliated practices to adopt population health under value-based reimbursement. He also previously served as the chief medical officer at the University of Illinois Hospital and Health Sciences System in Chicago and …

David Feinberg

Geisinger names Jaewon Ryu president, CEO | FierceHealthcare | 6/21/2019

by Tina Reed Jun 20, 2019 12:38pm Jaewon Ryu, M.D., succeeds David Feinberg, M.D., who left Geisinger earlier this year to assume a leadership role at Google. (Geisinger) Geisinger named Jaewon Ryu, M.D., its president … services organization assisting affiliated practices to adopt population health under value-based reimbursement. He also previously served as the chief medical officer at the University of Illinois Hospital and Health Sciences System in Chicago and …

Brett Furst

Altarum Institute’s Payformance Solutions Selects Amendola Communications as Public Relations Partner | PR Newswire | 1/9/2018

… agency, announced today that it has been selected as the agency of record for Payformance Solutions , a leading provider of value-based reimbursement solutions and services. Amendola will leverage long-standing relationships with healthcare editors … new healthcare IT company, Amendola is my first call,” said Brett Furst , founder and CEO of Foresight Ventures and a strategic advisor to Payformance Solutions. “They have effectively positioned two previous companies I worked for …

Albert Young

ApolloMed And Network Medical Management Announce Completion Of Merger And Listing On The Nasdaq Capital Market | PR Newswire | 12/11/2017

… Augusta as President, Mihir Shah as Chief Financial Officer, and Hing Ang as Chief Operating Officer. Adrian Vazquez , M.D. and Albert Young , M.D. will be Co-Chief Medical Officers. The Board of Directors will consist … the industry leader in the transition of U.S. healthcare to value-based reimbursements.” “We would like to thank our existing shareholders and welcome our new shareholders,” stated Gary Augusta, President of Apollo Medical Holdings. “This …

Gary Augusta

ApolloMed And Network Medical Management Announce Completion Of Merger And Listing On The Nasdaq Capital Market | PR Newswire | 12/11/2017

… led by Warren Hosseinion , M.D. and Thomas Lam , M.D. as Co-Chief Executive Officers, Kenneth Sim , M.D. as Executive Chairman, Gary Augusta as President, Mihir Shah as Chief Financial Officer, and Hing Ang as Chief … the industry leader in the transition of U.S. healthcare to value-based reimbursements.” “We would like to thank our existing shareholders and welcome our new shareholders,” stated Gary Augusta, President of Apollo Medical Holdings. “This …

Adrian Vazquez

ApolloMed And Network Medical Management Announce Completion Of Merger And Listing On The Nasdaq Capital Market | PR Newswire | 12/11/2017

… as Executive Chairman, Gary Augusta as President, Mihir Shah as Chief Financial Officer, and Hing Ang as Chief Operating Officer. Adrian Vazquez , M.D. and Albert Young , M.D. will be Co-Chief Medical Officers. The Board … the industry leader in the transition of U.S. healthcare to value-based reimbursements.” “We would like to thank our existing shareholders and welcome our new shareholders,” stated Gary Augusta, President of Apollo Medical Holdings. “This …