The 2018 Annual ACO Survey: Examining the Risk Contracting Landscape

In 2012, the Centers for Medicare and Medicaid Services (CMS) launched new voluntary payment models for Accountable Care Organizations (ACOs) with incentives to control spending. The number of Medicare ACOs has grown steadily to more than 600 organizations responsible for managing care for nearly 12 million Medicare beneficiaries in 2018. Similar programs have been established in the commercial, Medicare Advantage, and Medicaid markets. However, the majority of Medicare ACOs participate in Track 1 of the Medicare Shared Savings Program (MSSP) under a “one-sided” arrangement – also known as “upside-only” - where ACOs earn shared savings payments if their annual spending is below a target budget known as a benchmark, but are not required to repay Medicare if their spending exceeds the benchmark. In 2018, about 25 percent of Medicare ACOs were in MSSP Tracks 1+, 2, and 3 or in the Next Generation ACO model, which are “two-sided” or “shared” risk arrangements.  ACOs participating in these models can generally earn larger shared savings payments if they are successful, but they also face “downside” risk because they are responsible for repaying a portion of any losses to the government.

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Predictive Analytics: A Blessing for Healthcare Spaces

Article | November 29, 2023

Introduction Over the past couple of years, there has been a substantial rise in the burden of chronic conditions and treatment costs, along with the growing elderly population, which is transforming the healthcare sector at a rapid pace. As per a study, healthcare spending across the globe is anticipated to reach an unprecedented value to total US$ 18.3 trillion by 2030. In response to these trends, volume-based payment models are being replaced by outcome- or value-based models. Predictive analytics helps health organizations to get in line with these new models and improve patient care and outcomes. From predicting critical conditions such as heart failure and septic shock to preventing readmissions, the recent advancements in big data analytics are boosting the adoption of new predictive analytics solutions that aid clinicians improve outcomes and cut costs. Predictive analytics in healthcare is most helpful with clinical care, administrative tasks, and managing operations. More importantly, the technology is already making a difference in a wide range of healthcare settings, from small private doctor's offices and large academic hospitals to healthcare insurance companies. How is Growing Healthcare Data Favoring the Penetration of Predictive Analytics? The growing inclination toward digitalization in the healthcare industry has led to the creation of huge new data sets. These include radiology images, electronic medical record (EMR) systems, lab results, and health claims data. The amount of data is expected to reach new avenues with increasing genomics and cytogenesis research data in the near future. New data is being generated and collected by the novel medical devices at the edge, such as monitors and patient wearables. In addition, outside the healthcare setting, patients are generating quasi-health data through the use of health monitoring applications, fitness trackers, and personal wearable devices. By using data from these sources, health care providers can find new ways to use predictive modeling for health risks, predictive analytics for medical diagnosis, and prescriptive analytics for personalized medicine. Predictive analytics has become a crucial component of any strategy for health analytics. Today, it's an essential tool for measuring, combining, and making sense of biometric, psychosocial, and behavioral data that wasn't available or was very hard to get a hold of until recently. Here are some of the applications of predictive analytics for healthcare Identifying Patients at Risk Clinical Predictions Disease Progression and Comorbidities Predicting Length of Stay Speeding Treatment of Critical Conditions Reducing Readmissions The Future Story With the growing prominence of innovative technologies across the healthcare industry, a number of health IT providers are focusing on developing their own analytics software and engines to assist healthcare spaces deliver optimal patient care. For instance, in 2020, Eversana, a U.S.-based provider of innovative solutions to the life sciences industry, announced the introduction of its ACTICS predictive analytics solution, which enables clinical spaces to combine multiple data sources into a single comprehensive system. Also, some U.S. companies are partnering with healthcare institutions to develop proprietary algorithms designed to enhance organizational performance, improve clinical care, and increase operational efficiency. Such developments are projected to increase the popularity of predictive analytics solutions in the healthcare sector in the coming years.

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Health Technology, Digital Healthcare

Managing Your Fearful and Negative Thoughts

Article | August 16, 2023

There are times that we encounter negative thoughts that can be overwhelming. For some people, the more they try to get rid of their thoughts, the stronger they become. As a result, here is a brief list of techniques that a person can use to help manage their negative thinking. 1. Do not focus on your fearful thinking: The first thing a person must do is not to dwell on the fear provoking thought when it comes. The more a person tries to reason out on the fear behind the thought, the stronger it becomes. The next time you encounter a negative situation, get into the practice of not dwelling on it. 2. Think of a red stop sign: At times, a person might encounter a fearful thought that may be difficult to manage. When this happens, visualize a red stop sign which can serve as a reminder to think about something else. Regardless of how scary your negative thinking may be, do not dwell on it. This technique is great in dealing with your negative situations and depression. 3. Its only fear: The difference between an obsessive thought and a regular one is that an obsessive thought is based on fear. With this in mind, try to find the source of the fear behind your negative thinking and then find ways to get rid of your worries. 4. Your thoughts are exaggerated: Sometimes, a person may encounter a lot of scary thoughts coming at them all at once. Instead of getting upset, remember that your negative thinking is exaggerated with worry. Ignore the fear behind these obsessive thoughts, regardless how the strong the fear may be. 5. Challenge your negative thinking with positive statements and realistic thinking: When encountering thoughts that make you fearful or depressed, challenge them by asking yourself questions that will maintain objectivity and common sense. Focus on the reality of your situation and not on your negative thinking. 6. Carry a small notebook of positive statements with you: A person should keep a small notebook of positive statements that makes them feel good. Whenever they come across a positive and uplifting verse that makes them happy, write it down in a small notebook. A person can then carry this notebook around in their pocket and whenever they feel anxious, they can read their notebook. 7. Take it one day at a time: Instead of worrying about how you will get through the rest of the week or month, try to focus on today. Each day can provide us with different opportunities to learn new things and that includes learning how to deal with your situation. In addition, you will not feel overwhelmed with everything if you focus on one thing at a time. 8. Get help: Take advantage of the help that is available around you. If possible, talk to a professional who can help you manage your fears and anxieties. They will be able to provide you with additional advice and insights on how to deal with your current problem. By talking to a professional, a person will be helping themselves in the long run because they will become better able to deal with their problems in the future.

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Health Technology, AI

Amazon Care: Revolutionizing Virtual Care

Article | July 18, 2023

In 2021, the introduction of Amazon Care marked the first time a prominent technology firm stepped into the healthcare services industry. The fact that Amazon filed paperwork to offer care in multiple states without much fanfare is intriguing. In March 2021, the company confirmed the details of its new services, announcing that it would be delivering the services through an independent private medical practice called Care Medical. The move may signify another diversification for Amazon, but what does it mean for the healthcare services landscape? The Highlights of Amazon Care’s Services Home healthcare Amazon announced that it would be participating in an advocacy group for home healthcare. The Moving Health at Home initiative aims to transform how policymakers view the home as a site to deliver clinical services. Amazon Care may be riding on the trend for home care that has been evolving in the form of remote patient monitoring for post-acute care management and chronic care. Employer-oriented offering Amazon Care aims to become a workplace benefit partner for employers. One of the pain points it is directly addressing is the challenge of runaway inflation that increases healthcare costs. Virtual care simplified The most significant offering that Amazon Care plans to lead with is virtual care that promises to reduce wait times for quality patient care to under 60 seconds. It also includes the option to access 24-hour care services through messaging and video calling. In addition, it eliminates unnecessary traveling and long wait times by delivering care in the comfort of the patient’s home. The Path Ahead Amazon is known for introducing a slew of initiatives in the health and fitness sector, like the Halo wearables, a data management product called Amazon Health Lake, and a healthcare delivery system called Haven, which doubled over in 2021 after a three-year run. However, the tech juggernaut is not about to stop attempting to disrupt healthcare services. Only time will tell whether Amazon Care finally proves to be a feather in Amazon’s healthcare cap or another ambitious project that bites the dust.

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How Virtual Care and Telehealth are Redefining Healthcare

Article | April 16, 2020

Virtual care and telehealth are no longer seen as merely an innovative method of delivering healthcare; technology is now indispensable to protecting patients, staff, and PPE resources amid the coronavirus pandemic. In a recent Harvard Medical School blog, Lee H. Schwamm, MD, shared that “telehealth, the virtual care platforms that allow health care professionals and patients to meet by phone or video chat, seems tailor-made for this moment in time… The current crisis makes virtual care solutions like telehealth an indispensable tool.” He believes that the role of telehealth is vital to our country as “it can help flatten the curve of infections and help us to deploy medical staff and lifesaving equipment wisely.”

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Future of Healthcare

ClareMedica Health Partners, a Leading Provider of Value-Based Primary Care, Receives Investment from Revelstoke Capital Partners

Revelstoke | February 25, 2022

Revelstoke Capital Partners ("Revelstoke"), aDenver-based private equity firm focused on investing in healthcare services companies, today announced it has made a significant growth investment in ClareMedica Health Partners, LLC ("ClareMedica" or the "Company"), a leader in value-based primary care serving Medicare Advantage members inFlorida. This partnership will accelerate ClareMedica's growth and aid the Company in expanding itsBetterCare℠model into new markets. ClareMedica will continue to be led by CEORoberto Palenzuelaand the current management team, who will retain significant ownership in the business. BPOC, aChicago-based healthcare investor, which has been an investor in ClareMedica since 2019, will also retain equity ownership. "We have always believed in a value-based care model that places a priority on high-quality coordinated care designed to improve health outcomes," said Mr. Palenzuela, who reinvested alongside Revelstoke. "We are delighted to partner with Revelstoke, which has a proven track-record of building prominent healthcare services businesses with this patient centric philosophy. We are excited to use this investment to partner with other physician-led practices, expanding ourBetterCare℠model into new markets throughoutFloridaand into neighboring states." Russell Cassella, Managing Partner at Revelstoke, said, "Our investment in ClareMedica reflects Revelstoke's avid support of the industry's transition from fee-for-service to value-based healthcare, resulting in a greater emphasis on improving patient outcomes. ClareMedica's commitment to providing high-quality care has made it a partner of choice for physicians and payors throughoutFlorida. With our experience in physician practice management and value-based care, we look forward to helping management build a broader regional platform that will increase access to high-quality care." "We look forward to our continued partnership with Roberto and his team because of their patient-centered approach and focus on improving patient outcomes. As value-based care continues to expand, we see significant long-term growth potential as ClareMedica enters new markets and expands access to high-quality care." Peter Magas, Partner at BPOC "After a multi-year outbound search in the value-based primary care sector, we are very pleased to partner with ClareMedica's management team and providers who are dedicated to transforming healthcare," said Cy Barton-Dobenin, Principal at Revelstoke. "Throughout our targeted search process, we have built significant industry knowledge and strategic relationships that we are excited to integrate into ClareMedica's growth plans." SVB Leerinkacted as financial advisor and McGuireWoods LLP acted as legal counsel to Revelstoke.Houlihan Lokeyacted as financial advisor and Kirkland & Ellis LLP andMcDermott Will& Emery LLP acted as legal counsel to ClareMedica and BPOC. Terms of the transaction were not disclosed. About Revelstoke Revelstoke is a private equity firm formed by experienced investors who focus on building industry-leading companies in the healthcare services and healthcare technology sectors. Revelstoke partners with entrepreneurs and management teams to execute on a disciplined organic and acquisition growth strategy as it strives to build exceptional companies. Revelstoke is based inDenver, Coloradoand has approximately$4.3 billionof assets under management. Since the firm's inception in 2013, Revelstoke has completed 142 acquisitions, which includes 25 platform companies and 117 add-on acquisitions. About ClareMedica Health Partners ClareMedica is a growing health care company that provides and coordinates comprehensive health care services for Medicare Advantage members and other customers through a network of employed and affiliated physicians. We deliver accountable, value-based care for all health care stakeholders by employing a patient-centric care model that provides better care for our patients and a changing health care industry. About BPOC Founded in 1996, BPOC is aChicago-based private equity firm that invests exclusively in healthcare companies and is one of the nation's most experienced investors in the industry having raised five funds with total capital commitments of nearly$1.8 billion. BPOC has invested in numerous provider, manufacturing, outsourcing, distribution and information technology companies through growth equity, management buyouts and leveraged recapitalizations.

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Digital Healthcare

Brazilian Heath Tech Company Alice Partners With TytoCare to Expand Telehealth Offerings With At-Home Medical Examinations

TytoCare | February 23, 2022

TytoCare, the global health care industry's first all-in-one modular device and examination platform for AI-powered, on-demand, remote medical exams, and Alice,Brazil'sfirst primary care-driven health insurance plan, have announced today a partnership. Alice is the first company inBrazilto integrate with TytoCare, offering its members an easy-to-use, portable examination kit to conduct virtual physical examinations anywhere, anytime, putting healthcare in the hands of consumers. TytoCare will be distributed exclusively inBrazilby Tuinda Care. Alice, which inDecember 2021received the largest venture capital round ever reported inLatin Americaby a health tech company, began operations inJune 2020as an innovative tech-enabled health plan, built on the foundation of virtual-first, team-based primary care. Besides providing each of its members a 'Health Squad' ("Time de Saúde") – composed of a family doctor, a nurse, a nutritionist, and a physical trainer – the company also serves as a private health insurance provider with access to top-of-the-line hospitals, labs, and a network of medical specialists. Most hospitals in the network are contracted under a value-based healthcare (VBHC) payment model. With the TytoCare partnership, Alice will enable seamless digital diagnostics for its members, while enabling physicians to offer clinic-quality virtual care. TytoCare is the only all-in-one telehealth solution enabling physicians to remotely connect with patients for clinic-quality physical examinations. The handheld examination kit enables users to perform comprehensive exams of the heart, skin, ears, throat, abdomen, and lungs, as well as measure heartrate and body temperature, which are key for treating many acute and chronic conditions. This allows healthcare providers to gain the vital clinical data they require to monitor, diagnose, and treat patients and avoid unnecessary in-person visits. All the data is stored in Alice's app and becomes available to all health professionals who care for the member, allowing for seamless care coordination. "This data integration – the first of its kind inBrazil– enables the member's Health Squad to easily follow up on any chronic or acute condition, providing patients with long-term care while ensuring accuracy, speed, and convenience in both diagnoses and treatment plans. TytoCare also reduces costs and the need for travel to and from hospitals and clinics. In addition, it enables the health professional to share vital information with other physicians and specialists for a second opinion." André Florence, CEO of Alice TytoCare is easy to use and requires only an internet signal for members to conduct synchronous virtual consultations with their physician who can guide them through the exams and see the results in Alice's app. The physician can then better direct the member to the appropriate care pathway, either by referring them to an emergency room or by writing a digital prescription, when necessary. Currently, 15% of digital queries use TytoCare's support and with the integration, this number is expected to grow even further. With TytoCare, Alice can offer better assistance to a member who has, for example, an earache in the middle of the night and opts to use 'Alice Now' ("Alice Agora") – an in-app, text-based virtual primary care service that supports audio and video and is available 24/7 for members who need immediate medical assistance. Within one hour, the member will receive the TytoCare device at home and the physician will guide them through a physical exam to see in real-time what is happening in the ear canal. The TytoCare examination kit can be used to support the care of children and adults as well as for patients with more complex illnesses who need frequent monitoring. "Members with medical complexities use health services more frequently and can benefit from remote monitoring, reducing the frequency of in-person visits," saidAna Carolina Lucchese, Tuinda Care director. "Easier access to medical services can also prevent further complications and hospitalization." About TytoCare TytoCare is a telehealth company using AI to transform primary care by putting health in the hands of consumers. TytoCare seamlessly connects people to clinicians to provide the best virtual home examination and diagnosis solutions.Its solutions are designed to enable a comprehensive medical exam from any location and include a hand-held, all-in-one tool for examining the heart, lungs, skin, ears, throat, abdomen, and body temperature; a complete telehealth platform for sharing exam data, conducting live video exams, and scheduling visits; a cloud-based data repository with analytics; and built-in guidance technology and machine learning algorithms to ensure accuracy and ease of use for patients and insights for healthcare providers. Co-founded byDedi GiladandOfer Tzadikin 2012, TytoCare has FDA and CE clearances and has partnered with over 170 major health systems, health plans, and strategic partners in the U.S.,Europe,Asia,Latin America, andIsrael. About Alice Alice is currently considered the most promising health tech inLatin America. AsBrazil'sfirst primary care-driven health insurance plan, its mission is to make the world healthier. Launched inJune 2020, it already has nearly 7,000 members, more than 550 employees and has raised VC rounds at historically high levels for a health tech in the region. Founded by André Florence,Guilherme AzevedoandMatheus Moraes, the health tech has raised$174.8Mfrom the funds Allen & Company LLC, Canary, Endeavor Catalyst, Globo Ventures, G Squared, Kaszek, Maya Capital, StepStone Group, SoftBank Latin America Fund (SBLA) and ThornTree Capital Partners. About Tuinda Care Tuinda Care is a Healthtech startup focused on expanding access to high quality medical care inBrazilthrough telemedicine. It's the exclusive distributor of TytoCare technology inBrazil, with the purpose to connect clinicians and patients remotely, assuring medical excellence in every online visit. Tuinda Care is accelerated by Pequeno Príncipe Hospital and Sabará Pediatric Hospital, the two most prestigious pediatric hospitals inBrazil.

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Future of Healthcare

Avalon Healthcare Solutions Announces New Collaboration with N.Y.-Based Health Insurer CDPHP

Avalon Healthcare Solutions | February 19, 2022

Avalon Healthcare Solutions, LLC, DBA Avalon Healthcare Solutions, is pleased to announce a new collaboration to provide genetic testing management to Capital District Physicians' Health Plan, Inc. (CDPHP®). Lab testing is the gateway to appropriate diagnosis and treatment plans, and there are more than 13 billion lab tests performed annually in the U.S. Those results influence 70 percent of all medical decisions. Lab testing is highly complex and constantly evolving, creating challenges for health plans to navigate. Avalon, the world's first Lab Insights company, takes lab benefit and value management services to the next level, further removing waste and abuse from the system, while also improving clinical outcomes. Avalon helps its clients provide earlier disease detection for their members and drive treatment protocols to accelerate the Triple Aim of improving the patient experience, improving the health of populations, and reducing the per member cost of healthcare. Avalon and CDPHP are focused on using the latest technology, evidence-based medicine, and provider education to ensure high-quality, cost-effective laboratory services to drive appropriate care for CDPHP members. Avalon's innovative management services unlock the power of lab data, expanding the view to encompass the entire patient journey, optimizing treatment, improving outcomes, and driving down costs. "We are pleased to join together withCDPHP and bring our proven history of management, as well as our innovative approach to unlocking new possibilities. The CDPHP focus on improving the health and well-being of its members and communities is perfectly aligned with Avalon's mission to help our clients enable value-driven care in this dynamic and increasingly challenging environment." Bill Kerr, MD, Chief Executive Officer at Avalon "For nearly 40 years, CDPHP has been committed to lowering the total cost of care while preserving the high-quality service our members and the community at-large have come to expect," saidElizabeth Warner, MD, Senior Vice President of Member Health, CDPHP. "This new venture with Avalon Healthcare Solutions will further our mission of ensuring care is delivered at the right place, at the right time, and with the best outcome possible for each and every member we serve." About Avalon Healthcare Solutions Avalon Healthcare Solutions is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost. About CDPHP® Established in 1984, CDPHP is a physician-founded, member-focused and community-based not-for-profit health plan that offers high-quality affordable health insurance plans to members in 29 counties throughoutNew York.

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Future of Healthcare

ClareMedica Health Partners, a Leading Provider of Value-Based Primary Care, Receives Investment from Revelstoke Capital Partners

Revelstoke | February 25, 2022

Revelstoke Capital Partners ("Revelstoke"), aDenver-based private equity firm focused on investing in healthcare services companies, today announced it has made a significant growth investment in ClareMedica Health Partners, LLC ("ClareMedica" or the "Company"), a leader in value-based primary care serving Medicare Advantage members inFlorida. This partnership will accelerate ClareMedica's growth and aid the Company in expanding itsBetterCare℠model into new markets. ClareMedica will continue to be led by CEORoberto Palenzuelaand the current management team, who will retain significant ownership in the business. BPOC, aChicago-based healthcare investor, which has been an investor in ClareMedica since 2019, will also retain equity ownership. "We have always believed in a value-based care model that places a priority on high-quality coordinated care designed to improve health outcomes," said Mr. Palenzuela, who reinvested alongside Revelstoke. "We are delighted to partner with Revelstoke, which has a proven track-record of building prominent healthcare services businesses with this patient centric philosophy. We are excited to use this investment to partner with other physician-led practices, expanding ourBetterCare℠model into new markets throughoutFloridaand into neighboring states." Russell Cassella, Managing Partner at Revelstoke, said, "Our investment in ClareMedica reflects Revelstoke's avid support of the industry's transition from fee-for-service to value-based healthcare, resulting in a greater emphasis on improving patient outcomes. ClareMedica's commitment to providing high-quality care has made it a partner of choice for physicians and payors throughoutFlorida. With our experience in physician practice management and value-based care, we look forward to helping management build a broader regional platform that will increase access to high-quality care." "We look forward to our continued partnership with Roberto and his team because of their patient-centered approach and focus on improving patient outcomes. As value-based care continues to expand, we see significant long-term growth potential as ClareMedica enters new markets and expands access to high-quality care." Peter Magas, Partner at BPOC "After a multi-year outbound search in the value-based primary care sector, we are very pleased to partner with ClareMedica's management team and providers who are dedicated to transforming healthcare," said Cy Barton-Dobenin, Principal at Revelstoke. "Throughout our targeted search process, we have built significant industry knowledge and strategic relationships that we are excited to integrate into ClareMedica's growth plans." SVB Leerinkacted as financial advisor and McGuireWoods LLP acted as legal counsel to Revelstoke.Houlihan Lokeyacted as financial advisor and Kirkland & Ellis LLP andMcDermott Will& Emery LLP acted as legal counsel to ClareMedica and BPOC. Terms of the transaction were not disclosed. About Revelstoke Revelstoke is a private equity firm formed by experienced investors who focus on building industry-leading companies in the healthcare services and healthcare technology sectors. Revelstoke partners with entrepreneurs and management teams to execute on a disciplined organic and acquisition growth strategy as it strives to build exceptional companies. Revelstoke is based inDenver, Coloradoand has approximately$4.3 billionof assets under management. Since the firm's inception in 2013, Revelstoke has completed 142 acquisitions, which includes 25 platform companies and 117 add-on acquisitions. About ClareMedica Health Partners ClareMedica is a growing health care company that provides and coordinates comprehensive health care services for Medicare Advantage members and other customers through a network of employed and affiliated physicians. We deliver accountable, value-based care for all health care stakeholders by employing a patient-centric care model that provides better care for our patients and a changing health care industry. About BPOC Founded in 1996, BPOC is aChicago-based private equity firm that invests exclusively in healthcare companies and is one of the nation's most experienced investors in the industry having raised five funds with total capital commitments of nearly$1.8 billion. BPOC has invested in numerous provider, manufacturing, outsourcing, distribution and information technology companies through growth equity, management buyouts and leveraged recapitalizations.

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Digital Healthcare

Brazilian Heath Tech Company Alice Partners With TytoCare to Expand Telehealth Offerings With At-Home Medical Examinations

TytoCare | February 23, 2022

TytoCare, the global health care industry's first all-in-one modular device and examination platform for AI-powered, on-demand, remote medical exams, and Alice,Brazil'sfirst primary care-driven health insurance plan, have announced today a partnership. Alice is the first company inBrazilto integrate with TytoCare, offering its members an easy-to-use, portable examination kit to conduct virtual physical examinations anywhere, anytime, putting healthcare in the hands of consumers. TytoCare will be distributed exclusively inBrazilby Tuinda Care. Alice, which inDecember 2021received the largest venture capital round ever reported inLatin Americaby a health tech company, began operations inJune 2020as an innovative tech-enabled health plan, built on the foundation of virtual-first, team-based primary care. Besides providing each of its members a 'Health Squad' ("Time de Saúde") – composed of a family doctor, a nurse, a nutritionist, and a physical trainer – the company also serves as a private health insurance provider with access to top-of-the-line hospitals, labs, and a network of medical specialists. Most hospitals in the network are contracted under a value-based healthcare (VBHC) payment model. With the TytoCare partnership, Alice will enable seamless digital diagnostics for its members, while enabling physicians to offer clinic-quality virtual care. TytoCare is the only all-in-one telehealth solution enabling physicians to remotely connect with patients for clinic-quality physical examinations. The handheld examination kit enables users to perform comprehensive exams of the heart, skin, ears, throat, abdomen, and lungs, as well as measure heartrate and body temperature, which are key for treating many acute and chronic conditions. This allows healthcare providers to gain the vital clinical data they require to monitor, diagnose, and treat patients and avoid unnecessary in-person visits. All the data is stored in Alice's app and becomes available to all health professionals who care for the member, allowing for seamless care coordination. "This data integration – the first of its kind inBrazil– enables the member's Health Squad to easily follow up on any chronic or acute condition, providing patients with long-term care while ensuring accuracy, speed, and convenience in both diagnoses and treatment plans. TytoCare also reduces costs and the need for travel to and from hospitals and clinics. In addition, it enables the health professional to share vital information with other physicians and specialists for a second opinion." André Florence, CEO of Alice TytoCare is easy to use and requires only an internet signal for members to conduct synchronous virtual consultations with their physician who can guide them through the exams and see the results in Alice's app. The physician can then better direct the member to the appropriate care pathway, either by referring them to an emergency room or by writing a digital prescription, when necessary. Currently, 15% of digital queries use TytoCare's support and with the integration, this number is expected to grow even further. With TytoCare, Alice can offer better assistance to a member who has, for example, an earache in the middle of the night and opts to use 'Alice Now' ("Alice Agora") – an in-app, text-based virtual primary care service that supports audio and video and is available 24/7 for members who need immediate medical assistance. Within one hour, the member will receive the TytoCare device at home and the physician will guide them through a physical exam to see in real-time what is happening in the ear canal. The TytoCare examination kit can be used to support the care of children and adults as well as for patients with more complex illnesses who need frequent monitoring. "Members with medical complexities use health services more frequently and can benefit from remote monitoring, reducing the frequency of in-person visits," saidAna Carolina Lucchese, Tuinda Care director. "Easier access to medical services can also prevent further complications and hospitalization." About TytoCare TytoCare is a telehealth company using AI to transform primary care by putting health in the hands of consumers. TytoCare seamlessly connects people to clinicians to provide the best virtual home examination and diagnosis solutions.Its solutions are designed to enable a comprehensive medical exam from any location and include a hand-held, all-in-one tool for examining the heart, lungs, skin, ears, throat, abdomen, and body temperature; a complete telehealth platform for sharing exam data, conducting live video exams, and scheduling visits; a cloud-based data repository with analytics; and built-in guidance technology and machine learning algorithms to ensure accuracy and ease of use for patients and insights for healthcare providers. Co-founded byDedi GiladandOfer Tzadikin 2012, TytoCare has FDA and CE clearances and has partnered with over 170 major health systems, health plans, and strategic partners in the U.S.,Europe,Asia,Latin America, andIsrael. About Alice Alice is currently considered the most promising health tech inLatin America. AsBrazil'sfirst primary care-driven health insurance plan, its mission is to make the world healthier. Launched inJune 2020, it already has nearly 7,000 members, more than 550 employees and has raised VC rounds at historically high levels for a health tech in the region. Founded by André Florence,Guilherme AzevedoandMatheus Moraes, the health tech has raised$174.8Mfrom the funds Allen & Company LLC, Canary, Endeavor Catalyst, Globo Ventures, G Squared, Kaszek, Maya Capital, StepStone Group, SoftBank Latin America Fund (SBLA) and ThornTree Capital Partners. About Tuinda Care Tuinda Care is a Healthtech startup focused on expanding access to high quality medical care inBrazilthrough telemedicine. It's the exclusive distributor of TytoCare technology inBrazil, with the purpose to connect clinicians and patients remotely, assuring medical excellence in every online visit. Tuinda Care is accelerated by Pequeno Príncipe Hospital and Sabará Pediatric Hospital, the two most prestigious pediatric hospitals inBrazil.

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Future of Healthcare

Avalon Healthcare Solutions Announces New Collaboration with N.Y.-Based Health Insurer CDPHP

Avalon Healthcare Solutions | February 19, 2022

Avalon Healthcare Solutions, LLC, DBA Avalon Healthcare Solutions, is pleased to announce a new collaboration to provide genetic testing management to Capital District Physicians' Health Plan, Inc. (CDPHP®). Lab testing is the gateway to appropriate diagnosis and treatment plans, and there are more than 13 billion lab tests performed annually in the U.S. Those results influence 70 percent of all medical decisions. Lab testing is highly complex and constantly evolving, creating challenges for health plans to navigate. Avalon, the world's first Lab Insights company, takes lab benefit and value management services to the next level, further removing waste and abuse from the system, while also improving clinical outcomes. Avalon helps its clients provide earlier disease detection for their members and drive treatment protocols to accelerate the Triple Aim of improving the patient experience, improving the health of populations, and reducing the per member cost of healthcare. Avalon and CDPHP are focused on using the latest technology, evidence-based medicine, and provider education to ensure high-quality, cost-effective laboratory services to drive appropriate care for CDPHP members. Avalon's innovative management services unlock the power of lab data, expanding the view to encompass the entire patient journey, optimizing treatment, improving outcomes, and driving down costs. "We are pleased to join together withCDPHP and bring our proven history of management, as well as our innovative approach to unlocking new possibilities. The CDPHP focus on improving the health and well-being of its members and communities is perfectly aligned with Avalon's mission to help our clients enable value-driven care in this dynamic and increasingly challenging environment." Bill Kerr, MD, Chief Executive Officer at Avalon "For nearly 40 years, CDPHP has been committed to lowering the total cost of care while preserving the high-quality service our members and the community at-large have come to expect," saidElizabeth Warner, MD, Senior Vice President of Member Health, CDPHP. "This new venture with Avalon Healthcare Solutions will further our mission of ensuring care is delivered at the right place, at the right time, and with the best outcome possible for each and every member we serve." About Avalon Healthcare Solutions Avalon Healthcare Solutions is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost. About CDPHP® Established in 1984, CDPHP is a physician-founded, member-focused and community-based not-for-profit health plan that offers high-quality affordable health insurance plans to members in 29 counties throughoutNew York.

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