Risk-adjusted return on capital

Oscar Health, Inc. Announces that Mark Bertolini’s Foundation and Deerfield Management have Entered into an Agreement with a Selling Shareholder to Purchase Shares of Oscar Health

Retrieved on: 
Monday, November 20, 2023
Software, Managed Care, Health, Artificial Intelligence, Health Technology, Technology, Apps, Applications, Health Insurance, NYSE, Affordable Care Act, Care Act 2014, Privacy, Common stock, Risk-adjusted return on capital, Health care, Growth, Hospital, Physician, Failure, OSCR, Security (finance), Medicare

Deerfield will purchase an aggregate of 3,000,000 shares of Common Stock and Anahata will purchase an aggregate of 2,000,000 shares of Common Stock.

Key Points: 
  • Deerfield will purchase an aggregate of 3,000,000 shares of Common Stock and Anahata will purchase an aggregate of 2,000,000 shares of Common Stock.
  • The closing of each private placement is expected to occur on or about November 22, 2023, subject to the satisfaction of customary closing conditions.
  • Oscar is not a party to either of the Stock Purchase Agreements.
  • New factors emerge from time to time, and it is not possible for us to predict which will arise.

RAAPID Empowers Strategic Vision and Execution of the Next Stage of Growth, Welcoming Michael Clark as President & Chief Growth Officer

Retrieved on: 
Tuesday, November 28, 2023
Medicare Advantage, Medicaid, Senior, Organization, History, Risk-adjusted return on capital, ACO, NLP, Marketing, Workflow, ACA, Growth, Medicare, AI, Artificial intelligence in healthcare, Health, Management, Nuance

Michael Clark, an executive having led start-ups, early-stage, and mid and large-cap companies transformations and growth, opening new markets and segment expansion success, joins as President and Chief Growth Officer.

Key Points: 
  • Michael Clark, an executive having led start-ups, early-stage, and mid and large-cap companies transformations and growth, opening new markets and segment expansion success, joins as President and Chief Growth Officer.
  • While Chetan Parikh , a serial entrepreneur with a rich history in healthcare technology, steps up as the Founder & CEO.
  • "Our vision at RAAPID is to harness the power of AI/NLP to impact healthcare and redefine the Risk Adjustment landscape," said Chetan Parikh.
  • By cultivating key partnerships and focusing on scalable growth, RAAPID is positioning itself to capitalize on future opportunities for expansion and innovation.

CENTENE CORPORATION ANNOUNCES NEW CHIEF OPERATING OFFICER

Retrieved on: 
Wednesday, November 15, 2023
Star, Colgate-Palmolive, NYSE, Quality, Organization, SVP Worldwide, Chemical engineering, Risk-adjusted return on capital, Health, Centene Corporation, CNC, University, Engineering, Improper integral, Population health, Medicare, SVP, Management, Medicaid, Science, Humana

ST. LOUIS, Nov. 15, 2023 /PRNewswire/ -- Centene Corporation (NYSE: CNC) ("the Company"), a leading healthcare enterprise committed to helping people live healthier lives, today announced the appointment of Susan Smith as its Chief Operating Officer (COO), effective January 1, 2024.

Key Points: 
  • ST. LOUIS, Nov. 15, 2023 /PRNewswire/ -- Centene Corporation (NYSE: CNC) ("the Company"), a leading healthcare enterprise committed to helping people live healthier lives, today announced the appointment of Susan Smith as its Chief Operating Officer (COO), effective January 1, 2024.
  • As COO, Ms. Smith will report to Centene President Ken Fasola and will be responsible for core business operations, population health, the enterprise transformation office, provider experience and quality.
  • She has worked at Centene since June 2023.
  • "Susan is a seasoned operator who brings extensive experience in the government-sponsored payer space," said Centene's Chief Executive Officer, Sarah M. London.

Reveleer Welcomes Expert Digital Health Executive to Its Board of Directors

Retrieved on: 
Tuesday, November 14, 2023
Welsh, Lyft, Risk-adjusted return on capital, Quality, CNBC, Patient, Twill, Workflow, CBS, Therapy, The Wall Street Journal, Growth, Mental health, AI, Change Healthcare, VBC, McKesson Corporation, Pharmaceutical industry, Politico, Yahoo!

GLENDALE, Calif., Nov. 14, 2023 /PRNewswire/ -- Reveleer, a leading AI-powered healthcare technology data and analytics company committed to advancing sustainable value-based care for health plans and risk-bearing providers, today announced Megan Callahan, a widely respected digital healthcare leader, has joined its Board of Directors.

Key Points: 
  • "I am honored to join Reveleer's Board of Directors.
  • "Reveleer has the potential to overcome the healthcare data challenge through its use of AI to advance risk adjustment and quality improvement programs.
  • Most recently, Callahan was the Chief Operating Officer at Twill, a leader in digital therapeutics and mental health, where she led all commercial and operational functions.
  • Callahan is a recognized digital health expert featured in Yahoo!

Oscar Health Announces Results for Third Quarter 2023 and Raises Full Year 2023 Adjusted EBITDA Outlook; New +Oscar Agreement

Retrieved on: 
Tuesday, November 7, 2023
Managed Care, Health Technology, Health Insurance, Health, Cautionary tale, Health Care and Education Reconciliation Act of 2010, Adjustment, Affordable Care Act, Policy, Security (finance), Rural Health Workforce and The Patient Protection and Affordable Care Act, Care Act 2014, Physician, EBITDA, Oscar, GAAP, Health care, Cigna, Growth, Partnership, Webcast, Hospital, Metric, Privacy, Table, Risk-adjusted return on capital, Failure, Risk management, Medicare

Actual results may differ materially depending on a number of factors.

Key Points: 
  • Actual results may differ materially depending on a number of factors.
  • Investors are urged to read the Cautionary Note Regarding Forward-Looking Statements included in this release.
  • Oscar will host a conference call to discuss the financial results today, November 7, 2023, at 8:00 a.m. (ET).
  • New factors emerge from time to time, and it is not possible for us to predict which will arise.

Edifecs to Speak on the Power of Artificial Intelligence at 2023 WEDI National Conference

Retrieved on: 
Monday, November 6, 2023
Technology, Health Technology, Software, Networks, Practice Management, Internet, General Health, Health, Data Management, Artificial Intelligence, Washington College of Law, Electronic data interchange, HCC, National Conference, CDI, Workgroup for Electronic Data Interchange, American University of Antigua, News, Conference, Thin Air (Morgan novel), Generative, Washington College, Workgroup, Artificial intelligence, Artificial intelligence in healthcare, Health equity, WEDI, American University, Medical record, EHR, AI, HEDIS, Patient, DRG, Risk-adjusted return on capital, Software as a service, Medical device, Ridesharing

Edifecs, a leader in healthcare AI, has long offered cloud-powered Software-as-a-Service (SaaS) to deliver proven AI-driven solutions for payers, providers, and the healthcare ecosystem at large.

Key Points: 
  • Edifecs, a leader in healthcare AI, has long offered cloud-powered Software-as-a-Service (SaaS) to deliver proven AI-driven solutions for payers, providers, and the healthcare ecosystem at large.
  • The Edifecs AI-driven technology runs across frameworks, including risk adjustment, value-based payment, and prior authorization.
  • Edifecs’ 2023 WEDI National Conference Engagement:
    WHAT: In the era of value-based care, achieving excellence in patient care is paramount.
  • WHERE: American University's Washington College of Law, NT01, Ceremonial Classroom
    For updates on the latest news and announcements at the conference, please follow Edifecs on LinkedIn .

Health care culture expert to headline RISE's 22nd Risk Adjustment Forum

Retrieved on: 
Tuesday, October 31, 2023
HCC, Affordable Care Act, Centers for Medicare & Medicaid Services, Education, Medicare, Medicare Advantage, Risk-adjusted return on capital, Risk, Medicaid, Culture, Communication, Mobile phone, DALLAS, Bartholomew the Apostle

 DALLAS, Oct. 31, 2023 /PRNewswire/ -- Kathleen Bartholomew, R.N., MN, named one of the top 20 people changing health care in America, will be the keynote speaker at the 22nd Risk Adjustment Forum, the premier event for risk adjustment and quality specialists in the health care industry, which will take place November 27-29, 2023, at the Fairmont Dallas.

Key Points: 
  • Kathleen Bartholomew, R.N., MN, an expert on the power of culture, will kick off the first day of the main conference with a presentation on how to lead through change.
  • DALLAS, Oct. 31, 2023 /PRNewswire/ -- Kathleen Bartholomew, R.N., MN, named one of the top 20 people changing health care in America, will be the keynote speaker at the 22nd Risk Adjustment Forum , the premier event for risk adjustment and quality specialists in the health care industry, which will take place November 27-29, 2023, at the Fairmont Dallas.
  • The three-day Risk Adjustment Forum, which includes four pre-conference workshops, is designed for executives in Medicare Advantage, Medicaid managed care, and Affordable Care Act plans who seek updated best practices and strategies for coding accuracy and education success.
  • The Risk Adjustment Forum will take place November 27-29, 2023, at the Fairmont Dallas.

SmarterDx Customers Have High Praise for Clinical AI Prebill Software in new KLAS Report

Retrieved on: 
Thursday, October 19, 2023
Clinical coder, Hospital, Physician, Research, MD, CDI, KLAS, Risk, Risk-adjusted return on capital, CMI, Medical device

NEW YORK, Oct. 19, 2023 /PRNewswire/ -- SmarterDx, a pioneering clinical AI software company, today announced the release of a new "Emerging Solutions Spotlight" by KLAS Research, which highlights the company's development and use of clinical AI to help healthcare organizations drive revenue integrity and efficiency. The report, titled "SmarterDx 2023 –– Driving Revenue Cycle Outcomes through Proprietary Clinical AI," examines the SmarterDx customer experience and offers insights into the company's strengths, opportunities and impact on key performance metrics.

Key Points: 
  • NEW YORK, Oct. 19, 2023 /PRNewswire/ -- SmarterDx , a pioneering clinical AI software company, today announced the release of a new "Emerging Solutions Spotlight" by KLAS Research, which highlights the company's development and use of clinical AI to help healthcare organizations drive revenue integrity and efficiency.
  • The report, titled " SmarterDx 2023 –– Driving Revenue Cycle Outcomes through Proprietary Clinical AI ," examines the SmarterDx customer experience and offers insights into the company's strengths, opportunities and impact on key performance metrics.
  • SmarterDx customers interviewed by KLAS report that the solution instantly drives attributable revenue lift, improved Case Mix Index (CMI), and better risk adjustment.
  • In addition, SmarterDx customers reported that the organization's inherent expertise ensures an intuitive user interface, smooth implementation and a quality product.

BrainCheck Appoints Jennifer Cobb as Vice President of Partnerships

Retrieved on: 
Thursday, October 19, 2023
Alzheimer's disease, FDA, U.S. Department of Veterans Affairs, Office of Inspector General, Dementia, Arizona State University, Medicare, TelevisionWeek, Veterans' affairs, Prevalence, Spectrum Health, Advertising, Deficit spending, Jennifer Jo Cobb, Northern Arizona University, Centers for Medicare & Medicaid Services, Master of Public Administration, Risk, University of Arizona, Office of Inspector General, U.S. Department of Health and Human Services, Forest Law Enforcement and Governance Program, Patient, Diagnosis, Risk-adjusted return on capital, CMS, Management, Nursing, Partnership

AUSTIN, Texas, Oct. 19, 2023 /PRNewswire/ -- BrainCheck, Inc. today announced the appointment of Jennifer Cobb as Vice President of Partnerships. In this role, Ms. Cobb will spearhead BrainCheck's efforts to establish strategic alliances with value-based care organizations, strengthening the company's commitment to improving comprehensive cognitive care. The announcement follows several recent pivotal developments in cognitive health, including the FDA approval of a new treatment for early Alzheimer's disease and the Centers for Medicare & Medicaid Services (CMS) release of new first-in-kind payment models and amended policies that support early diagnosis and caregiving for patients and their families.

Key Points: 
  • Accomplished leader to establish strategic alliances with value-based care organizations, strengthening the company's commitment to improving comprehensive cognitive care
    AUSTIN, Texas, Oct. 19, 2023 /PRNewswire/ -- BrainCheck, Inc. today announced the appointment of Jennifer Cobb as Vice President of Partnerships.
  • In this role, Ms. Cobb will spearhead BrainCheck's efforts to establish strategic alliances with value-based care organizations, strengthening the company's commitment to improving comprehensive cognitive care.
  • "Value-based care is at the forefront of healthcare innovation, and BrainCheck recognizes the importance of forging partnerships that align with this transformative approach.
  • "I am thrilled to join the accomplished team at BrainCheck and contribute to the company's mission of revolutionizing cognitive healthcare at a broader scale," said Ms. Cobb.

AdventHealth partners with Wellvana to improve primary care patient outcomes and lower total cost of care  

Retrieved on: 
Wednesday, October 11, 2023
Partnership, Health, Social, Physician, MSSP, Risk-adjusted return on capital, RNS, Risk, HEDIS, Primary care network, Pharmacist, Medicare, AdventHealth, Sand, Health equity, Patient, Nursing, Health insurance

AdventHealth and Wellvana share a vision of redesigning primary care to offer a more balanced approach to health.

Key Points: 
  • AdventHealth and Wellvana share a vision of redesigning primary care to offer a more balanced approach to health.
  • The Wellvana approach empowers primary care physicians to focus on high-quality preventive patient care as they transition from fee-for-service care delivery, or payment per service performed, to full risk-based contracting, where the system takes financial responsibility for each patient cared for, which incentivizes coordinated care to improve outcomes and reduce the total cost of care per patient.
  • That starts with integrated, accessible, and affordable primary care," said Bryan Stiltz, Chief Executive Officer of AdventHealth's Primary Care Network.
  • AdventHealth will lower the total cost of care and improve the health of people and families throughout Florida.