Health Economics

Health Catalyst Launches Value Optimizer - A New Approach to Managing Risk and Achieving Profitability in Population Health

Retrieved on: 
Wednesday, July 21, 2021

VBC payment models have become increasingly common as healthcare organizations seek a better approach to managing risk and achieving profitability in population health.

Key Points: 
  • VBC payment models have become increasingly common as healthcare organizations seek a better approach to managing risk and achieving profitability in population health.
  • It is an issue that has only been exacerbated by the COVID-19 pandemic," said Darian Allen,SVP and General Manager, Population Health at Health Catalyst.
  • "Value Optimizer is a full-service technology solution capable of meeting the challenge by increasing visibility into health system performance and understanding of value base care agreements.
  • Financial leaders can collaborate with Health Catalyst experts to identify opportunities within the clinical, operational, and financial context for any population.

Nova Healthcare Administrators, Inc. Announces Partnership with HealthJoy

Retrieved on: 
Tuesday, July 20, 2021

CHICAGO, July 20, 2021 /PRNewswire-PRWeb/ --Nova Healthcare Administrators, Inc. (Nova) announced Friday its latest partnership with HealthJoy, the on-demand personalized healthcare navigation platform, to bring HealthJoy TPA+ to current clients and new business prospects.

Key Points: 
  • CHICAGO, July 20, 2021 /PRNewswire-PRWeb/ --Nova Healthcare Administrators, Inc. (Nova) announced Friday its latest partnership with HealthJoy, the on-demand personalized healthcare navigation platform, to bring HealthJoy TPA+ to current clients and new business prospects.
  • HealthJoy TPA+ proactively connects members with a variety of services, including telemedicine, healthcare concierges, price transparency assistance, and more, to help them choose high-quality, lower-cost healthcare.
  • "Controlling healthcare costs begins with consumer education and engagement," said Todd Martin, Chief Sales Officer, Nova Healthcare Administrators.
  • Our clients will have more control over their healthcare spend, their employees will have better healthcare outcomes, and ultimately, we'll begin to shift the way people experience healthcare."

WPS Health Insurance teams up with Auxiant for ASO product

Retrieved on: 
Tuesday, July 20, 2021

WPS Health Insurance and WPS Health Plan offer Administrative Services Only (ASO) products for employers that self-fund their employee benefit plan.

Key Points: 
  • WPS Health Insurance and WPS Health Plan offer Administrative Services Only (ASO) products for employers that self-fund their employee benefit plan.
  • This new partnership adds value to our group health plan product line and allows employers across Wisconsin to continue to choose WPS with confidence, said Jeremy Ott, Vice President of Health Insurance Economics for WPS Health Insurance.
  • As one of the largest health benefits providers in the state, Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) remains not-for-profit and offers high-quality health plans to the public and private sectors.
  • WPS Health Plan, Inc. (WPS Health Plan) is a fresh choice in a crowd of big, impersonal, national health insurance giants.

GetSetUp Announces New Member Engagement Tool for Medicare Advantage Health Plans

Retrieved on: 
Tuesday, July 20, 2021

SAN FRANCISCO, July 20, 2021 /PRNewswire/ -- GetSetUp , the fastest growing online destination for older adults with over 2 million monthly members, announced today the launch of GetSetUp Health , a member engagement tool designed to support Medicare Advantage health plans.

Key Points: 
  • SAN FRANCISCO, July 20, 2021 /PRNewswire/ -- GetSetUp , the fastest growing online destination for older adults with over 2 million monthly members, announced today the launch of GetSetUp Health , a member engagement tool designed to support Medicare Advantage health plans.
  • GetSetUp Health helps address specific social determinants of health (SDoH), or the conditions in which people live, learn, work, and play that affect a wide range of health outcomes and lead to health disparities.
  • The platform accomplishes this by partnering with Medicare Advantage plans to provide a multi-tiered offering:
    Ongoing engagement between health plans and their members through customized classes, special events, and member polls
    This model helps to educate older adults about their own health and health benefits, build social support networks, learn personal health practices and coping skills, and more.
  • "Improving member experience and engagement with GetSetUp Health can lead to more consistently positive patient outcomes and reduced medical costs for patients and payers."

MedEvolve Launches Patient Financial Engagement Services to Help Physician Groups Improve Patient Payments

Retrieved on: 
Tuesday, July 20, 2021

The new technology-enabled services will offer patient financial counseling services for physician groups along with mobile engagement services and a variety of digital payment options.

Key Points: 
  • The new technology-enabled services will offer patient financial counseling services for physician groups along with mobile engagement services and a variety of digital payment options.
  • The service center also takes incoming patient phone calls regarding patient statements on behalf of physician groups.
  • The services help providers increase patient revenue while driving down overhead and hard collection costs associated with manning phones and patient outreach.
  • Our new Patient Financial Engagement Services address both needs by improving provider-patient partnerships and bottom-line performance.

Ride Health and the American Heart Association Partner to Improve Health Equity for Patients Facing Transportation Barriers

Retrieved on: 
Tuesday, July 20, 2021

NEW YORK, July 20, 2021 /PRNewswire/ -- Ride Health , coordinating smarter transportation for every patient need, has been granted $500,000 in funding by the American Heart Association's (AHA) Social Impact Fund and Bernard J. Tyson Impact Fund to improve health equity for patients facing transportation barriers.

Key Points: 
  • NEW YORK, July 20, 2021 /PRNewswire/ -- Ride Health , coordinating smarter transportation for every patient need, has been granted $500,000 in funding by the American Heart Association's (AHA) Social Impact Fund and Bernard J. Tyson Impact Fund to improve health equity for patients facing transportation barriers.
  • Ride Health was founded to support local healthcare organizations in developing and operating transportation programs that address these barriers to good health.
  • Ride Health will be launching transportation programs with health systems in these new markets later this summer, with early participation from MidMichigan Health and Beaumont Health.
  • Ride Health partners with healthcare organizations and transportation providers to manage transportation benefits, strengthen enterprise transportation programs, and improve access to care and social services for at-risk populations.

XSOLIS Collaborates with Humana on New Approach to Utilization Management

Retrieved on: 
Monday, July 19, 2021

Alongside and in collaboration with participating XSOLIS client health systems, Humana will be adopting Precision Utilization Management (Precision UM), a process by which XSOLIS analytics identify and stratify a subset of member cases for "touchless" status determinations for medical inpatient treatment.

Key Points: 
  • Alongside and in collaboration with participating XSOLIS client health systems, Humana will be adopting Precision Utilization Management (Precision UM), a process by which XSOLIS analytics identify and stratify a subset of member cases for "touchless" status determinations for medical inpatient treatment.
  • XSOLIS' SaaS platform, CORTEX, extracts data directly from the hospital electronic medical record and analyzes the full clinical picture for each patient throughout their hospital stay.
  • With CORTEX, providers can escalate certain cases to Humana to be reviewed and approved in real time.
  • We were the first of our peers to pilot this new approach to utilization management and we are proud to engage a growing list of participating providers in adopting this framework."

More than Two Dozen Leading Business Groups and Public Health Organizations Call on Employers to Reduce Barriers for Working Parents Who Want to Vaccinate their Children Against COVID-19

Retrieved on: 
Monday, July 19, 2021

For the week ending July 8, children represented nearly a quarter of all new reported COVID-19 cases.

Key Points: 
  • For the week ending July 8, children represented nearly a quarter of all new reported COVID-19 cases.
  • "Business leaders can remove barriers, enact policies, and connect across divides to support the vaccination of their employees and their families, including their children.
  • "The country's leading business groups and public health organizations agree: removing barriers for working parents who choose to vaccinate their children is good for health, good for workers and good for business," said Stephen Massey, managing director of the Health Action Alliance.
  • Together, we work to strengthen and accelerate the business community's response to COVID-19, address health inequities and strengthen public health infrastructure.

U.S. Senate Candidate Khaled Salem Tells Congress 'There is a New Sheriff in Town - Enough Healthcare Fraud'

Retrieved on: 
Monday, July 19, 2021

His plan is to eliminate the healthcare and insurance fraud that has run rampant in the United States.

Key Points: 
  • His plan is to eliminate the healthcare and insurance fraud that has run rampant in the United States.
  • Salem is a universal health care champion and in favor of providing all U.S. citizens with first-rate medical care.
  • "The U.S. is the only global industrialized country that does not provide universal health coverage and it is time to take care of our citizens," said Salem.
  • Candidate Salem has been in talks with insurance experts to understand the issue of billions of dollars of fraud and graft.

Induction Healthcare and Attend Anywhere Join Forces to Increase Flexible Care Options for Hospitals and Patients

Retrieved on: 
Sunday, July 18, 2021

The acquisition creates a well-resourced, UK listed technology provider, focused on helping healthcare systems deliver more flexible care options for patients and staff.

Key Points: 
  • The acquisition creates a well-resourced, UK listed technology provider, focused on helping healthcare systems deliver more flexible care options for patients and staff.
  • COVID-19 has forced healthcare systems around the world to accelerate already-underway digital transformation, and the drivers have been particularly strong for healthcare systems that deliver specialty care services.
  • The integrated offerings of Attend Anywhere and Induction Healthcare enables a future flexible state for healthcare that allows care or support to be provided in person, over the phone, over video, or asynchronously with patients and healthcare staff able to work together without having to be in the same room.
  • While the pandemic saw a rise in the need for remote care, it has long been our clients desire to digitise the UKs healthcare offering.