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Brian Norris, Managing Director of Strategic Consulting at MedeAnalytics There are almost 33 million people enrolled in eligible Medicare programs. Nearly half are enrolled in Medicare Advantage (MA) plans, and that number is expected to continue its climb. Strategies for MA Plans to Address Social Needs 1.
New research from Harvard and Inovalon found MA beneficiaries had fewer hospital readmissions, fewer preventable hospitalizations and lower rates of high-risk medication use than those in traditional Medicare.
Social determinants of health – the food, shelter and security attributes of patients that exist outside of care settings – contribute disproportionate risks for disease, hospital readmissions and a lack of access to quality healthcare among vulnerable populations, including people on Medicare. Like what you hear?
Accountable care organizations do not positively influence treatment and outcomes for chronic mental health conditions for Medicare patients, according to a study in Health Affairs. | A new study pours water on the belief that ACOs are well-suited to handle chronic mental health conditions its patients experience.
By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofounder and CEO at DUOS, a senior-focused digital care navigation platform designed for Medicare beneficiaries.
The company found that machine learning was able to accurately predict healthcare providers with at-risk patients due to loss of insurance coverage, including Medicare coverage gaps. Rochester, Michigan-based OptimizeRx Corp., which provides care-focused engagement throughout patient journeys and connects more than 60% of U.S.
What You Should Know: – Easyhealth raises $135M to redesign Medicare with its end-to-end Medicare experience to help 50 million Medicare members find the best plan and support them through their healthcare journey. Redesigning The Medicare Experience. Improved Medicare Plan Performance.
Adrian Smith, R-Nebraska, and Ann Kuster, D-New Hampshire – would allow Medicare to enter into voluntary, value-based arrangements with medical groups to provide acute care to patients in skilled nursing facilities using a combination of telehealth and on-site staff. The RUSH Act – introduced in companion bills from Sens.
Most Medicare Advantage (MA) enrollees use one or more supplemental benefits, with most health plan members using multiple benefits, according to a newly released report from the Elevance Health Pu | Extra benefits from Medicare Advantage plans are highly utilized by enrollees, which improves healthoutcomes among at-risk populations, new analysis (..)
What You Should Know: – CareMax , a tech-enabled provider of value-based care to seniors announced an agreement to acquire the Medicare value-based care business of Steward Health Care System for a combination of cash and stock. – CareMax will pay $25 million in cash and issue 23.5
"The ability to use and build from established standards in real-time and as part of screening practices that help identify specific needs related to insecurity is an important step in enabling more coordinated care and timely assistance or interventions needed to improve healthoutcomes," according to Argentieri, Meklir and Henry.
The Medicaid and CHIP Access to Prescription Digital Therapeutics Act seeks to expand care options that can help improve healthoutcomes and quality of life for those facing barriers to healthcare. The Digital Therapeutics Alliance this week encouraged legislators to support its efforts to broaden access to DTx. WHY IT MATTERS.
health plan. We are proud to expand our partnership with Cigna to improve the overall quality of life, including pain reduction and a return to previous functionality for the Medicare Advantage population,” said Dustin Eggers, EVP and chief commercial officer of RecoveryOne. “We
The Connecticut Children's Care Network, with 37 independent pediatric practices and more than 200 pediatric primary care providers in Connecticut and Massachusetts, has a mission to improve the quality of care and healthoutcomes for infants, children and adolescents.
According to a press statement from Thompson's office, it would: Eliminate most geographic and originating site restrictions on the use of telehealth in Medicare and establishing the patient’s home as an eligible distant site. This is a common-sense step to make sure our policies keep pace with our technology," he added.
(NYSE: HUM) and kidney care provider Strive Health announced today a new multi-state, value-based care agreement for kidney care to more Medicare Advantage members. – A dedicated interdisciplinary care team that collaborates with a member’s physician to provide whole-person care.
Medicare Advantage (MA) beneficiaries have better quality of care and healthoutcomes than traditional fee-for-service counterparts, researchers from Harvard Medical School found.
How do care management interventions to mitigate SDOH as a risk for undesired healthoutcomes work? Recently, population health management strategies have begun to incorporate evaluations for patients' social needs connected to SDOH, as well as interventions addressing these needs.
"She has been a key contributor to the advancement of digital health in the nursing profession and played a pivotal role in the future of the Australian healthcare system as a member of the Strengthening Medicare Taskforce," ADHA CEO Amanda Cattermole said about Booth in a statement.
Dr. Gupta Bio/Background Dr. Gupta is a trained family practice physician with over a decade of experience in Medicare Advantage leadership. He also has a proven record of improving clinical outcomes for senior populations.
– The advocacy group is dedicated to promoting policies that integrate virtual care with food and nutritional support to improve healthoutcomes, prevent disease, and manage chronic conditions. This includes conditions such as obesity, prediabetes, and hypertension.
She pointed to recent rulemaking in which the OIG recognized the promise that digital health technologies, including telemedicine, have for improving care coordination and healthoutcomes. Advocates applauded the statement, saying they are ready to work with the agency to ensure telehealth services continue safe care.
House of Representatives on Thursday aims to ensure telehealth is able to continue to build on its potential in the years ahead, by making permanent some policies enacted during the pandemic and protecting Medicare beneficiaries' ability to engage in virtual care. WHY IT MATTERS. THE LARGER TREND.
The impact of tech-enabled care on older adults Technology-driven healthcare solutions, such as in-home vitals monitoring, enable increased access to care for the Medicare population and support improved healthoutcomes by supplementing clinical care and helping to address acute and chronic conditions from the comfort of the patients home.
The payer mix of health insurance is typical, with 35% of patients representing government insurance such as Medicare or Medicaid, 60% commercial insurance, and 6% self-pay patients. Virtual-first primary care has been shown to improve healthoutcomes by increasing access, he reported.
There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.
What You Should Know: – Aledade has announced an expanded collaboration with Humana , designed to bolster the ability of Federally Qualified Health Centers (FQHCs) and rural health clinics to succeed in value-based care. Medicare Advantage serves as a private health insurance alternative to traditional Medicare.
Proper healthcare staff training and education contributes to better healthoutcomes, greater confidence and morale among staff, significant cost savings, and more efficient operations. Maintain Regulatory Compliance Non-compliance with just one regulation can put patients’ health and organizational operations at risk.
The Fundraise Will Enable Soda Health to Broaden its Offering of Data Products and Services, and Expand its Support to New Benefit Categories Soda Health , a health tech company enhancing the use of benefit dollars to improve healthoutcomes and reduce inequities, today announced a $50M Series B financing.
American seniors are already comfortable with video call technology, the survey found, revealing 45% have used FaceTime, Skype or Google Hangout, and a quarter are already using a mobile phone health app. THE LARGER TREND.
From the CMS Blog - CMS is committed to fostering innovation while ensuring that people with Medicare have faster and more consistent access to emerging technologies that will improve healthoutcomes. The post Transforming Medicare Coverage appeared first on Health IT Answers.
. – This partnership expands Blue Cross’s existing suite of virtual care options for diabetes management, which also includes Virta Health, Teladoc, and Omada. Blue Cross has also launched a pilot program with Curant Health to address medication adherence challenges among members with diabetes, hypertension, and high cholesterol.
What You Should Know: – Vitalic announced the launch of its innovative geriatric behavioral health platform, designed specifically to address the often overlooked mental health needs of older adults. Vitalic aims to change this by offering a comprehensive, team-based approach to geriatric behavioral health.
Expanding those successful screening practices across departments and practices, like family medicine, maternal and infant health, pediatrics and cardiology, etc. Gathering reliable data for research that can explore associations between positive screens and healthoutcomes, healthcare utilization and cost.
The company partners with major insurers and Medicare, making its digital platform available to 70 percent of the U.S. To date, Culina Health maintains more than 1,000 referring providers and has served more than 10,000 patients through the Culina Health Method. population. billion annual cost savings at scale.
The Centers for Medicare and Medicaid Services just released data on its Acute Hospital Care at Home initiative , which thus far has admitted 11,159 patients suffering from respiratory infections, heart failure and severe sepsis. Where is this data going to come from and what must hospital and health system IT executives do here?
The funding for this coordination of these social determinants of health aims to break down siloed efforts and better align care and social service providers – ideally enabling better healthoutcomes, reducing costs and protecting vulnerable populations.
The acquisition brings Humbi AI’s deep actuarial expertise and robust Medicare and Medicaid data, covering over 200 million lives, to Innovaccer’s Healthcare Intelligence Cloud. Improve patient outcomes: Leverage data-driven insights to enhance care delivery and achieve better healthoutcomes.
These improvements span internal and customer-facing operations at payers, care delivery organizations, and government entities such as the Centers for Medicare & Medicaid Services and public hospitals. According to McKinsey , advancements in AI, GenAI, could transform the healthcare industry by boosting operational efficiencies.
The acquisition combines Humbi AIs expertise in Medicare and Medicaid data, spanning over 200 million lives, with Innovaccers Intelligence Cloud. This integration will enhance Innovaccers ability to help healthcare organizations improve healthoutcomes and manage risk and performance more effectively.
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