Value-based care (VBC) is finally gaining steam among healthcare organizations as executives look to implement processes that boost patient outcomes and rein in elevated levels of spending. To that end, more than 90% of health system executives say they expect VBC contracts will continue to grow in the coming years. Despite the widespread popularity of the concept of VBC, making it work is something of an “all-hands-on-deck” approach. VBC relies on the collaboration between many
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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
Bamboo Health ACOs Generate $1B+ in Medicare Shared Savings Program
What You Should Know: - Following the National Association of Accountable Care Organizations (ACOs) announcement of 2020 data detailing the Medicare Shared Savings Program (MSSP), Medicare's largest alternative payment model, Bamboo Health, formerly Appriss Health and PatientPing, announced its national network of ACOs generated over $1 billion in total shared savings. - Bamboo Health’s ACO partners succeed under value-based care programs like the MSSP by utilizing their Pings
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Humana Acquires Integrated Post-Acute Care Provider onehome – M&A
What You Should Know: - Humana Inc. announced that it has signed a definitive agreement to acquire integrated post-acute care provider One Homecare Solutions (“onehome”) from WayPoint Capital Partners (WayPoint), the private equity affiliate of a New York-based family investment office. - The acquisition will further advance Humana’s strategy to build a value-based home health offering. - Founded in 2013, onehome is a provider of a variety of home-based services, as well as a convener
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Elevate Health Taps Innovaccer to Redefine Its Care Management Model – PHM
What You Should Know: - Elevate Health, a Washington-based nonprofit Accountable Community for Health (ACH) organization, has partnered with us to leverage the Innovaccer Health Cloud to strengthen care management and improve patient outcomes. It was challenged to integrate data from disparate sources and close gaps for hundreds of patient records. - With the Innovaccer Health Cloud, Elevate Health saved $6M in care costs and redefined its care management
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As CMS Delays CHART, Rural Providers Need to Take Value-Based Care into Their Own Hands
The answer to solving a healthcare crisis that exacerbates barriers to care among some of the most vulnerable patient populations in the country is staring us in the face. For rural hospitals straining under the weight of erratic patient volumes, sicker populations and lack of funding, the path forward is in value-based care. But providers can’t stand idly by waiting for the government to step in and help them make that change. They need to save themselves. That may sound like a big lift for
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Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan
What You Should Know: - Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan. - MMM is Puerto Rico’s largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States. - With more than 267,000 MA members and over 305,000
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Aledade Secures $100M for Value-Based Primary Care, Reaching $2.1B Valuation
What You Should Know: - Aledade raises $100 Million in Series D funding to help more primary care practices thrive in value-based care. - The new funding will power the growth of a nationwide network of more than one million patients by further expanding into Medicare Advantage Contracts. Aledade, a Bethesda, MD-based provider of value-based primary care, today announced it has closed a $100 million Series D funding round following a year of significant growth for its national
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Collaborative Health Systems’ ACOs Delivers $335M in Medicare Savings
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 and $183 million in shared savings since 2012, according to figures released by the Centers for Medicare & Medicaid Services (CMS). Defining Medicare ACOs Medicare ACOs are groups of doctors, hospitals, and other healthcare providers who come together voluntarily to provide coordinated, high-quality
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Intermountain’s Castell Taps Arcadia to Elevate Value-Based Care
What You Should Know: - Intermountain’s Castell has selected Arcadia Analytics as the healthcare technology and analytics foundation to support its comprehensive approach to helping organizations accelerate the transition from volume- to value-based systems of care. Castell, the new comprehensive healthcare platform company from Intermountain Healthcare that elevates value-based capabilities for providers, payers, healthcare systems, and accountable care organizations (ACOs) has
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ACO to Deploy Innovaccer’s FHIR-enabled Data Activation Platform Across Medicare Population
What You Should Know: - MultiCare Connected Care announced it will leverage Innovaccer's FHIR®-enabled Data Activation Platform for the Medicare Track 1+ population. - MultiCare Connected Care is an Accountable Care Organization and a wholly-owned subsidiary of MultiCare Health System based in the state of Washington, one of the largest, not-for-profit health systems. MultiCare Connected Care (MCC), one of the leading clinically integrated care networks in the state of Washington,
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