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CMS Reports Record Performance for MSSP

Digital Health Wire

CMS just released the Medicare Shared Savings Program results for 2022, and the report managed to drum up some serious debate on the effectiveness of MSSP despite last year’s record performance. MSSP saved Medicare $1.8B 140 per high-revenue ACO), underscoring the importance of primary care to the overall program.

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DecisionRx Announces $100 Million Credit Facility with Carlyle

Healthcare IT Today

The financing will support the cost-bearing that is key to DecisionRx’s unique business model: DecisionRx can assume the full cost of delivering Medication Therapy Optimization to patients of Accountable Care Organizations, Medicare Advantage Plans, and self-insured employers.

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Bonus Features – September 24, 2023 – 72 percent of patients say affordability is the biggest challenge for paying medical bills

Healthcare IT Today

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. When digital services are available, they’re often disconnected from primary care. HCPLAN also added the advocacy group Accountable for Health.

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Industry Voices—5 things to know about the Chronic Care Act

FierceHealthIT

Multispecialty medical groups and health systems operating accountable care organizations or participating in Medicare Advantage plans will find some new tools for managing this patient population if they look closely at the provisions of the Bipartisan Budget Act of 2018, which includes the Chronic Care Act.

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Telehealth Bolsters Patient Satisfaction (J.D. Power), and Providers Are Working to Catch Up (BDO)

Health Populi

Importantly, Liz Fowler, the Director of the Center for Medicare and Medicaid Innovation (CMMI), spoke at a Health Affairs event on 3rd June and said that CMMI will look to focus more value-based models on the patient rather than the provider – to ensure that every member in a public health plan has a relationship with a physician, a health system, (..)

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Health Data Analytics Institute (HDAI) Announces $31 Million Funding Round to Scale Predictive Risk Platform

Healthcare IT Today

HDAI’s implementation at Houston Methodist is one of the most comprehensive, system-wide AI/machine learning (ML) care optimization solutions in production enabling data-informed actions by clinicians at the point of care and by population health managers at the system level.

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CareHarmony Secures $15 Million in Series A Funding Led by Maverick Ventures

Healthcare IT Today

The funding announcement comes at a time when leading healthcare organizations begin incorporating two-sided financial risk into their value-based care portfolios. For more information on CareHarmony, please visit care-harmony.com.