Managed Care

Can Integrated Care Transform Chronic Condition Management?
Management & Administration Can Integrated Care Transform Chronic Condition Management?

Imagine a health care system where patients with multiple chronic conditions no longer fall through the cracks, where fragmented care and conflicting advice are replaced by seamless coordination and personalized support. This vision is becoming a reality for many as over a quarter of US adults

How Can Home Health Providers Succeed in Value-Based Care?
Management & Administration How Can Home Health Providers Succeed in Value-Based Care?

The home health sector stands at a critical crossroads as it navigates a monumental shift from the long-standing fee-for-service (FFS) model to the more outcome-driven value-based care (VBC) framework, particularly within managed care systems like Medicare Advantage (MA). This transformation,

Reema Health Secures $19M to Expand Medicaid Engagement
Management & Administration Reema Health Secures $19M to Expand Medicaid Engagement

Imagine a healthcare system where the most vulnerable populations, often overlooked by traditional outreach, are not just reached but deeply connected with, leading to better health outcomes and lower costs. This is the vision driving Reema Health, a trailblazing platform that has just raised $19

How Does Switching to Traditional Medicare Impact Mental Health Care?
Management & Administration How Does Switching to Traditional Medicare Impact Mental Health Care?

Imagine a 68-year-old retiree, grappling with chronic depression, who finds themselves unable to see a psychiatrist under their Medicare Advantage plan due to a frustratingly narrow network of providers. After months of delays and denials for critical care, they make the leap to Traditional

From Visits to Value: What Payers Expect From Home Care
Management & Administration From Visits to Value: What Payers Expect From Home Care

Demand for home-based care has surged while payment models have become tangled enough to stall promising partnerships, and that tension has left providers wondering why negotiations that start with enthusiasm often end with a familiar deadlock over rates and utilization edits. The answer sits in a

Function, Nest, Revian Signal Shift to Augmented Care
Management & Administration Function, Nest, Revian Signal Shift to Augmented Care

The center of gravity in digital health has been drifting from episodic treatment to an always-on model that anticipates risk, enriches clinician judgment, and meets patients where they live, and three fresh financings set the tone for what comes next across software, services, and devices. Capital

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