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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Apixio Launches EHR-Integrated Post-Visit Solution

by Syed Hamza Sohail 02/23/2023 Leave a Comment

Apixio Unveils AI-Powered Risk Adjustment Auditing Solution

What You Should Know: - Apixio, a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers. With the Centers for Medicare & Medicaid Services' recent Medicare Advantage Risk Adjustment Data Validation Final Rule, healthcare organizations need to have complete diagnosis capture and accurate documentation for reimbursement to ensure compliance. - The new Post-Visit
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Aledade Acquires Curia, Adds More Than 450 New Practices

by Jasmine Pennic 02/21/2023 Leave a Comment

Aledade Acquires Curia, Adds More Than 450 New Practice

What You Should Know: - Aledade today announced the acquisition of Curia, a leader in value-based care analytics using practical applications of artificial intelligence (AI) to optimize the targeting of patient care and engagement programs.  The acquisition will enhance Aledade’s ability to extract valuable insights from disparate data sources, provide more accurate predictions using past data, and optimize primary care workflows through cutting-edge AI algorithms. - In addition, the
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Targeted IT Solutions Ease Navigation and Shift to Value-Based Care

by Ashish Kachru, CEO, DataLink 02/21/2023 Leave a Comment

How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

The new healthcare realm of value-based care (VBC), designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided, presents both opportunities and challenges for all stakeholders. This fundamental shift in reimbursement is intended to become part of the larger quality strategy in reforming how healthcare is delivered and compensated: better care for individuals, better health for populations
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From Telemedicine to Complete Virtual Care and Beyond

by Michael Gorton, CEO of Recuro Health 02/16/2023 Leave a Comment

From Telemedicine to Complete Virtual Care and Beyond

Telemedicine has helped improve the quality of life of patients in every corner of the world and has been successfully utilized to provide convenient care to people with limited or no access to health services. Today, worldwide digital interconnectivity is growing, enabling telehealth to advance health equity, bring access to care for underserved regions and meet the urgent, primary and behavioral healthcare needs of an exploding global population. It has been a remarkable journey for the
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Epic, Impact Advisors, Nordic, Chartis Named 2023 Overall Best in KLAS® Awards

by Fred Pennic 02/09/2023 Leave a Comment

Epic, Impact Advisors, Nordic, Chartis Named 2023 Overall Best in KLAS® Awards

What You Should Know: Epic, Nordic, Impact Advisors and The Chartis Group won the 2023 Overall Best in KLAS® awards. Epic was named the top Overall Software Suite for the thirteenth straight year in 2023 Best in KLAS – Software & Services report, released, which reports on the top vendors for 2022. Epic was also named the top Overall Physician Practice Vendor. Epic won thirteen other Best in KLAS awards in various market segments.  - Impact Advisors tied with Nordic to be a
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Why It’s Time for Intelligent Prior Authorization

by Alina M. Czekai, MPH, VP of Strategic Partnerships at Cohere Health 02/09/2023 Leave a Comment

It’s Time for Intelligent Prior Authorization

The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Specifically, the rule stipulates that health plans adopt electronic prior authorization processes, adhere to shorter turnaround times, clearly communicate denial reasons, publish key metrics annually, and implement the Fast Healthcare Interoperability Resources (FHIR) Application Programming Interface
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Prisma Health Moves to the Innovaccer Health Cloud

by Jasmine Pennic 01/31/2023 Leave a Comment

Prisma Health Moves to the Innovaccer Health Cloud

What You Should Know:  - South Carolina’s largest health system, Prisma Health selects the Innovaccer Health Cloud to be its primary value-based care platform for analytics, workflow, and Snowflake data platform management. - With the Innovaccer Health Cloud’s data and analytics platform, Prisma Health can integrate disparate EHRs and other healthcare systems to create a unified patient record.  Primsa Health Background Prisma Health provides healthcare services to nearly
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Upstream Healthcare Selects Innovaccer to Scale Value-Based Care Model Nationwide

by Jasmine Pennic 01/27/2023 Leave a Comment

Innovaccer Expands into Public Sector to Accelerate Public Health Transformation

What You Should Know: - Innovaccer Inc. announced that UpStream Healthcare, one of the fastest-growing value-based primary healthcare provider solutions in the country, has entered into a multi-year partnership agreement to more than double its population on Innovaccer’s cloud-native platform over the next year, and will use it to scale UpStream’s unique value-based care model nationwide. - The expanded relationship between the two companies comes on the heels of UpStream’s recent $140
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Pearl Health Raises $75M to Expand Value-Based Care Innovation

by Syed Hamza Sohail 01/26/2023 Leave a Comment

Pearl Health Raises $55M to Expand Value-Based Care Innovation

What You Should Know: - Pearl Health, a leading technology company focused on physician enablement and risk-bearing in value-based care, today announced that it has raised $75M in its oversubscribed Series B funding round, led by Andreessen Horowitz’s Growth Fund and Viking Global Investors, with participation by AlleyCorp, SV Angel’s Growth Fund, and other leading investors. This round brings Pearl’s total funding to date to more than $80M. Value-Based Care Innovation for
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Is AI-Assisted Lung Cancer Diagnosis Right For Your Hospital?

by Ryan Hennen, VP of US Sales at Optellum 01/24/2023 Leave a Comment

Is AI-assisted lung cancer diagnosis right for your hospital?

Lung cancer is the leading cause of cancer deaths worldwide, with approximately 1.8 million people dying from this disease each year. Most patients are diagnosed after symptoms have appeared and the disease has progressed to an advanced stage (Stage III or IV), which explains the current worldwide five-year survival rate of just 20 percent. In contrast, the survival rate for small lung tumors that are treated at Stage 1A is as high as 90 percent. This significant difference highlights a critical
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