Accountable care organization

Equality Health Appoints Lawrence Green as Tennessee Market President to Deliver "Medicaid First" Value-Based Care Model to the State

Retrieved on: 
Thursday, November 9, 2023
Aurora, Accountable care organization, Nation, Advocate Aurora Health, Public policy, CIN, Health, Equalize Health, Region, Economics, University of Chicago, HCA Healthcare, Ascension (healthcare system), University of Illinois Urbana-Champaign, VBC, Learning, Medicaid, Envision Healthcare, University, PCP, Northern Illinois University, ACO, Nursing, Management, Northwestern University, Green

Equality Health equips participating independent PCPs with its proven value-based care platform -- including tools, technology and an activity-based financial model necessary to deliver enhanced services to vulnerable Medicaid members. Equality Health's care model, which aims to close care gaps, also augments care enablement with direct, community-based clinical services that extend the reach of PCPs into the places where the most clinically complex members live.

Key Points: 
  • Managed Care Executive with 30 Years of Experience at Nation's Largest Health Systems and Expertise in Creating Risk-Based Alternative Payment Models including Value-Based Care, Leads Team to Build-Out Equality Health in Tennessee
    NASHVILLE, Tenn., Nov. 9, 2023 /PRNewswire/ -- Equality Health, a national leader in value-based care, today announced the appointment of Lawrence Green to the role of Tennessee Market President.
  • Equality Health equips participating independent PCPs with its proven value-based care platform -- including tools, technology and an activity-based financial model necessary to deliver enhanced services to vulnerable Medicaid members.
  • He has led managed healthcare initiatives at the largest health systems in the nation including at Ascension Health, Advocate Aurora Health, and HCA Healthcare.
  • Health plans interested in more details about Equality Health's comprehensive value-based care model can learn more at the health plan resource page .

Privia Health Reports Third Quarter 2023 Financial Results; Announces New Market Entry in South Carolina

Retrieved on: 
Friday, November 3, 2023
Medicare, Accountable care organization, EBITDA, MSSP, Norwegian Asthma and Allergy Association, Health, Privia, Greenville, Partnership, Table, Centers for Medicare & Medicaid Services, CMS, Video game, Bank, Beauty salon, Health insurance

Total revenue for the third quarter of 2023 was $417.3 million, compared to total revenue of $342.9 million for the prior year third quarter (+21.7%).

Key Points: 
  • Total revenue for the third quarter of 2023 was $417.3 million, compared to total revenue of $342.9 million for the prior year third quarter (+21.7%).
  • Gross Profit for the third quarter of 2023 was $90.6 million, compared to $76.9 million for the prior year third quarter.
  • Operating income for the third quarter of 2023 was $5.5 million, compared to operating loss of $(4.6) million for the prior year third quarter.
  • Net income for the third quarter of 2023 included $10.8 million in non-cash stock compensation expense and $0.7 million in other expenses.

New Research From Inovalon and Harvard University Finds Medicare Advantage Beneficiaries Have Superior Quality Outcomes Relative to Traditional Medicare

Retrieved on: 
Wednesday, November 1, 2023
MA, Inovalon, Accountable care organization, Insurance, Effectiveness, Acos, Policy, Harvard Medical School, FFS, Medicare, Doctor of Philosophy, Materials Research Science and Engineering Centers, Research, Risk, Health equity, Health, Patient, CMS, Pharmaceutical industry, Hospital, Health insurance, Economics

BOWIE, Md., Nov. 01, 2023 (GLOBE NEWSWIRE) -- Inovalon, a leading provider of cloud-based software solutions empowering data-driven healthcare, and Harvard Medical School researchers today released new research that shows Medicare Advantage (MA) delivers superior quality and health outcomes relative to traditional Fee-for-Service (FFS) Medicare. Using Inovalon’s unique data assets and analytics to look at a broad range of quality measures across care settings, the research shows that patients enrolling in MA realize substantially reduced rates of chronic and acute care complications. The findings are the latest to be released from the first-of-its-kind research collaboration with Inovalon and Harvard Medical school and builds on earlier research showing substantial inpatient utilization reductions under MA.

Key Points: 
  • The findings are the latest to be released from the first-of-its-kind research collaboration with Inovalon and Harvard Medical school and builds on earlier research showing substantial inpatient utilization reductions under MA.
  • MA now covers more than half of Medicare beneficiaries, including a disproportionately large share of socioeconomically disadvantaged patient populations.
  • The study, “Quality Outcomes Under Medicare Advantage versus Medicare Fee-for-Service,” found consistently better quality outcomes under MA than FFS, including 70% fewer readmissions under MA.
  • To download the whitepaper and learn more about the research, please visit: Harvard & Inovalon Medicare Research Collaboration .

Franciscan Missionaries of Our Lady Health System’s Health Leaders Network of Louisiana Among Top 5% for Quality Performance in the Country

Retrieved on: 
Monday, October 30, 2023
Acos, Health, Accountable care organization, Medicare, MD, HLN, Quality of life, Rouge, CDC, NCHS, Partnership, A1C, Patient, ACO, Nursing

Baton Rouge, LA, Oct. 30, 2023 (GLOBE NEWSWIRE) -- The Franciscan Missionaries of Our Lady Health System’s (FMOLHS) Health Leaders Network of Louisiana (HLN) has been recognized as one of the top performing accountable care organizations (ACO) in the nation for quality performance.

Key Points: 
  • Baton Rouge, LA, Oct. 30, 2023 (GLOBE NEWSWIRE) -- The Franciscan Missionaries of Our Lady Health System’s (FMOLHS) Health Leaders Network of Louisiana (HLN) has been recognized as one of the top performing accountable care organizations (ACO) in the nation for quality performance.
  • HLN is the health system’s clinically integrated network comprised of more than 2,200 providers committed to improving healthcare outcomes for their patients.
  • This shift toward what is often referred to as value-based care has accounted for the quality outcomes for which FMOLHS’ Health Leaders Network of Louisiana has been recognized.
  • For additional information about HLN and the continued efforts of our health system to improve the health of the communities we serve, please visit https://www.hlncn.com/ .

ilumed Achieves 100% Quality Score and $30 Million in Medical Cost Savings in 2022 ACO REACH Results

Retrieved on: 
Thursday, November 2, 2023
White House, Federal Government, Public Policy, Government, Health, Practice Management, Health Insurance, General Health, DCE, Accountable care organization, Direct, Acos, Medicare, Physician, PCP, Organization, REACH, Transport, Community health, Hospital, Centers for Medicare & Medicaid Services, Patient, Empathy, CMS, ACO, Nursing, Health care, Access

In addition to high quality scores, ilumed achieved $30,980,318 of gross savings for Medicare and $23,609,820 of net savings, which will be shared with qualifying physician partners, invested in infrastructure and resources to further improve quality of care, and used to address social determinants of health -- including providing healthy food to those who are food insecure, providing transportation to physician and pharmacy appointments, and eliminating PCP copays and deductibles.

Key Points: 
  • Medicare data shows that ilumed earned a quality score of 100% on all five quality metrics.
  • These performance measures range from risk-standardized all-condition readmission to timely follow-up after acute exacerbations of chronic conditions, among others.
  • Dr. Eric Weiner, an ilumed primary care physician, has found the relationship with the DCE/ACO REACH model especially beneficial.
  • ACO REACH creates incentives for ACOs to invest in transforming care by allowing them to share in savings they generate after meeting defined quality and cost goals.

ReferWell and CareJourney Announce Joint Solution Aimed at Helping ACOs and Health Plans Improve Outcomes

Retrieved on: 
Thursday, November 2, 2023
Technology, Health Technology, Health Insurance, Software, Practice Management, Managed Care, Health, General Health, Data Management, Availability, Intelligence, Perfect Match, Acos, Patient, Accountable care organization, ACO, Nursing, Risk management

ReferWell , the leading digital health company in patient care scheduling, and CareJourney , the market leader in provider cost and quality data, have announced the release of ReferWell’s Perfect Match℠ solution powered by CareJourney to assist accountable care organizations (ACOs) and health plans in improving patient outcomes and reducing costs.

Key Points: 
  • ReferWell , the leading digital health company in patient care scheduling, and CareJourney , the market leader in provider cost and quality data, have announced the release of ReferWell’s Perfect Match℠ solution powered by CareJourney to assist accountable care organizations (ACOs) and health plans in improving patient outcomes and reducing costs.
  • “We’re thrilled to add the power of CareJourney’s analytics to our solution in order to provide clients with an unparalleled ability to maximize both their outcomes and their cost performance,” said Vytas Kisielius, CEO of ReferWell.
  • “The combination of our ability to instantly schedule patient visits with CareJourney’s provider intelligence data enables us to display the highest-value options appropriate to each patient.
  • “We are delighted to join forces with ReferWell to better assist ACOs and health plans in improving access to care that is targeted to the highest value providers in each market,” said Dan Ross, CEO of CareJourney.

Early Breast Cancer Detection With Auria Increases Through Strategic Partnerships

Retrieved on: 
Tuesday, October 31, 2023
Functional medicine, Woman, Alternative medicine, Tears, Partnership, Health, Breast cancer, Accountable care organization, Medical imaging, 37.5°C no Namida

FAYETTEVILLE, Ark., Oct. 31, 2023 /PRNewswire/ -- As breast cancer awareness month comes to a close, the fight for awareness and early-stage detection continues. The impact of Auria, the first at-home biological breast cancer screening test powered by tears, is growing through partnerships with Evexia Diagnostics and Healthyr by closing the gap in screening through biological testing.

Key Points: 
  • FAYETTEVILLE, Ark., Oct. 31, 2023 /PRNewswire/ -- As breast cancer awareness month comes to a close, the fight for awareness and early-stage detection continues.
  • The impact of Auria , the first at-home biological breast cancer screening test powered by tears, is growing through partnerships with Evexia Diagnostics and Healthyr by closing the gap in screening through biological testing.
  • "Thanks to our new partnerships we will be able to offer Auria in thousands of new places and help close the breast cancer gap in care.
  • Our goal is to increase early-stage breast cancer detection, reduce cancer spend, and improve breast health outcomes for all women," said Omid Moghadam, Founder and CEO of Namida.

Pearl Health Releases Annual Report and Survey Findings on the State of Primary Care

Retrieved on: 
Tuesday, October 31, 2023
Accountable care organization, Acos, Publishing, Physician, Human, MD, Health, Risk management, Pearl, PCP, Patient, Nursing

NEW YORK, Oct. 31, 2023 /PRNewswire/ -- Pearl Health, a leading provider of physician enablement and risk management technology and services, has announced the publication of its 2023 Primary Care Pulse Report .

Key Points: 
  • NEW YORK, Oct. 31, 2023 /PRNewswire/ -- Pearl Health, a leading provider of physician enablement and risk management technology and services, has announced the publication of its 2023 Primary Care Pulse Report .
  • Pearl's 2023 Primary Care Pulse Report has insights based on survey responses from more than 200 primary care providers.
  • Systemic Barriers to Value-Based Care, including an exploration of the payment models, care models, and insights needed to move toward more proactive, whole-person care.
  • Pearl Health's 2023 Primary Care Pulse Report shows that, while many PCPs are disheartened by the current state of primary care in the United States, others remain optimistic.

SYNERGEN Health Announces Two Senior Leadership Promotions in Product and Client Services

Retrieved on: 
Thursday, October 26, 2023
Technology, Health Technology, Professional Services, Business, Software, General Health, Data Analytics, Health, Data Management, Artificial Intelligence, Accountable care organization, ACO, EVP, Shehan, Sunil, SVP, Partner (business rank), Population health, Entrepreneurship, Indiana University–Purdue University Indianapolis, Data management, RCM, Growth, University, AI, University of California, Berkeley, Nursing, The Veer Union

SYNERGEN Health , an industry-leading provider of technology-enabled revenue cycle services and solutions for healthcare organizations, today announced the promotions of Sunil Konda to Chief Product Officer and EVP of Product, and Shehan Wijayanayake to EVP of Client Services.

Key Points: 
  • SYNERGEN Health , an industry-leading provider of technology-enabled revenue cycle services and solutions for healthcare organizations, today announced the promotions of Sunil Konda to Chief Product Officer and EVP of Product, and Shehan Wijayanayake to EVP of Client Services.
  • These moves demonstrate SYNERGEN’s growth and continued commitment to delivering innovative and transformative new revenue cycle solutions, services, and processes.
  • As the Chief Product Officer and EVP of Product, Sunil will continue to lead all product initiatives and further the development of new and existing solutions across the SYNERGEN suite of technology solutions.
  • “I am honored to be elevated to the role of Chief Product Officer and EVP of Product,” said Sunil Konda.

PULSEDATA STRENGTHENS LEADERSHIP TEAM WITH KEY APPOINTMENTS ACROSS PRODUCT, MARKETING AND GROWTH

Retrieved on: 
Thursday, October 26, 2023
Accountable care organization, AMC, Intelligence, Acos, Mari, Social media, Health, New product development, Organization, Maintenance, Creativity, Optum, VBC, Senior, Chronic kidney disease, Data analysis, Growth, 3M, Marketing, Partnership, Machine learning, Paul-Marie Boulanger, Medicaid, Hospital, Independent, AI, Disability, CMO, Management, Nursing, Health care, St. Louis

NEW YORK, Oct. 26, 2023 /PRNewswire/ -- PulseData, a pioneering force in healthcare data analytics and artificial intelligence solutions focusing on predicting the progression of chronic kidney disease and related cardiorenal comorbidities, is pleased to announce three strategic additions to its executive team. These appointments reflect the company's dedication to enhancing its leadership and expertise as it continues to drive innovation in healthcare. The new executives are Paul Quindry, Senior Vice President of Product Development; Mari Mescolotto, Chief Marketing Officer; and Bob Pirtle, Senior Vice President of Sales and Client Success. They will all report directly to Chief Executive Officer Dean Panovich, contributing their wealth of experience to propel PulseData's product roadmap and growth initiatives.

Key Points: 
  • These appointments reflect the company's dedication to enhancing its leadership and expertise as it continues to drive innovation in healthcare.
  • "I am thrilled at the opportunity to collaborate once more with these exceptional, high-performing, seasoned healthcare executives," said Dean Panovich, CEO of PulseData.
  • "The addition of Paul, Mari, and Bob will create a world-class growth team for product, marketing, and sales.
  • This infusion of talent, in conjunction with our existing PulseData leadership team, will undoubtedly accelerate our mission to revolutionize healthcare through AI and machine learning solutions.