seniors
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Medicare Startup Prioritizing ‘Movement As Medicine’ Snags $17M
Bold, a Los Angeles-based company offering a healthy aging platform for older adults, closed a $17 million Series A funding round. The startup seeks to improve the health of Medicare Advantage beneficiaries through personalized exercise programs designed to prevent falls, decrease musculoskeletal pain and boost physical activity levels.
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Health IT, Health Tech, Startups
Suvida Healthcare Taps Elation EHR to Help Power Care for Hispanic Seniors
Suvida Healthcare — a startup providing primary care for Medicare-eligible Hispanic adults — is adopting Elation Health’s primary care-specific technology platform. The platform comprises an EHR, as well as software for patient engagement, telehealth and revenue cycle management. Suvida’s chief medical officer said Elation beat out the competition due to its focus on both primary care and value-based care.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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Humana finds formula for senior-focused care
President of Humana’s primary care, Reneé Buckingham, addresses the needs of many seniors facing multiple diagnoses and barriers to high-quality care.
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Artificial Intelligence, Health Tech
How an AI robot can help seniors battle loneliness
The New York State Office for the Aging announced Wednesday that it is partnering with Intuition Robotics to bring an AI robotic care companion into the homes of 800 older adults as part of the state’s efforts to battle social isolation and support aging in place.
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Getting Medicare Advantage members to take advantage of plan benefits
One way MA plans can stand out in an increasingly competitive market is by making members aware of the benefits they may not even know they have and encouraging them to use those benefits.
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Community, Consumer / Employer, Social Determinants
ConcertoCare raises $105M to expand at-home care for seniors
Wells Fargo Strategic Capital led the Series B funding round. Concerto also announced Thursday that it has acquired Crown Health, a home-based primary care practice serving the Pacific Northwest.
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Bill aiming to streamline MA prior authorization gains House majority support
The bill, if enacted into law, will establish an electronic prior authorization process and require Medicare Advantage plans to report on their use of prior authorization and the rate of approvals or denials to CMS. It has 227 co-sponsors in the U.S. House, indicating strong support from both Republicans and Democrats.
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Devoted Health raises $1.1B, sending valuation soaring past $12B
Though the Medicare Advantage-focused insurance technology startup is smaller than rivals like Clover Health in terms of membership and revenues, this latest financing round places it ahead of, or at least on par with, several larger competitors with regard to total funds raised.
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Ochsner Health, Bold partner to reduce falls among seniors
Through the partnership, Ochsner Health’s Medicare Advantage patients will gain access to Bold’s platform, which assesses current fitness levels to create a personalized exercise program for users.
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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CareMax to add 50 new senior care centers through Anthem collaboration
The senior care provider currently operates 34 medical centers offering healthcare and social services, like transportation. Through the collaboration, the companies will bring more seniors into value-based arrangements with the goal of improving outcomes for Anthem patients.
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Study: Black, Hispanic beneficiaries driving MA enrollment growth
Enrollment in Medicare Advantage plans grew rapidly between 2009 and 2018, with the largest increases seen among Black, Hispanic and dual enrollee — that is enrolled in both Medicare and Medicaid — populations. This indicates that payers will need to play a key role in addressing health inequities.
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Cano Health buys Doctor’s Medical Center for $300M
Senior-focused primary care provider Cano Health acquired Doctor’s Medical Center for $300 million, which adds around 54,000 new members and 18 medical centers to its roster. This is the second major acquisition for Cano Health in less than a month. The company bought University Health Care for $600 million in mid-June.
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Health IT, Startups, Physicians
Former CMMI director’s new company will focus on value-based rural healthcare
Main Street Health, launched by former Center for Medicare & Medicaid Innovation Director Brad Smith, aims to provide value-based care solutions in rural America. The company’s first step will be to partner with primary care clinics, urgent care centers and independent pharmacies to implement a program that will coordinate care for seniors.
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Cano Health’s $600M acquisition will add 24,000 MA members to its roster
Cano Health, which provides primary care services for seniors, bought Miami-based University Health Care for $600 million. University Health Care serves approximately 24,000 Medicare Advantage members, which will bring Cano Health’s membership to around 143,000.
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CMS ups Medicare payment for at-home vaccinations to about $75 per dose
CMS is increasing the payment for administering at-home Covid-19 vaccinations from around $40 to $75 per dose. The move comes amid the Biden administration’s push to boost vaccinations nationwide, including among older adults who may not be able to access vaccine sites.
Promoted
Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
Promoted
Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
