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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Health Technology, Digital Healthcare

Impact of Social Media on Healthcare Marketing

Article | August 21, 2023

Social media has become a powerful tool to connect people with friends, relatives, family, and other loved ones. Worldwide, around 4.2 billion people are actively using the internet. Among them, 3 billion are regularly active on social media channels. Social media is not just about interpersonal conversations; at least 80 percent of users follow one business on Instagram. With all the ads on your Facebook news feed, you connect with various brands or become aware about many brands. But does social media in healthcare make any impact? Almost all industries have started to realize the power of social media and how it can impact connecting with consumers. Various social media platforms help companies share information, increase brand awareness, and partner with industry influencers. Social media has overpowered traditional marketing strategies. Social media has become the wave of the future. Regarding the uptake of social media, the healthcare industry has been a bit slower. However, the industry now has accepted the undeniable importance of social media in healthcare. The reluctance might have been due to the risks associated for the providers as well as patients. Privacy and confidentiality of patient information has to be maintained always. Those were the challenges of social media in healthcare. However, consumers can get information from social media faster than any other tool. The Healthcare industry includes both the healthcare technology providers as well as the healthcare service providers. Whether you are a service provider or a technology provider, social media can impact your customers equally. This article discusses the positive effects and benefits of social media in healthcare, especially healthcare service providers. Embraced by the Medical Community The healthcare industry took notice of social media when government agencies and other business industries started to reap the benefits of social media. A recent survey revealed an interesting fact about the use of social media in healthcare. More than 1500 healthcare providers around the US have social media presence online. Hospitals miss key opportunities if they don’t use social media. These hospital systems have started effectively using social media to reach out to their past, current, and future patients. Social media in healthcare is an easy medium to share vital information with consumers and patients in the industry. The survey also revealed that more than 30% of medical professionals use various social media platforms to network with their peers. Many physicians also use these social media platforms for multiple activities in open forums. Having an active online presence evokes transparency among clients and peers. Healthcare providers can join various platforms such as Twitter to become healthcare influencers. Through social media in healthcare, providers can make connections, engage the community, and explore the industry. The Case of Cleveland Clinic, Ohio Cleveland Clinic in Ohio, US is the best example of how social media can be used to reach out to patients, engage them online, and stay ahead of competitors. They have more than 2 million followers on Facebook, 1.9 million followers on Twitter, and around 5 lack followers on LinkedIn. They have very different and unique social media strategies. They do post about whatever happens on the campus, including doctors practicing in their respective departments and interactive sessions with doctors and HODs, etc. Also, they do provide health tips and information, general health advice, and updates on the latest medical technologies and treatments. Apart from these, the hospital also reaches out to patients for queries and feedback through social media and responds to them promptly. These effective social media strategies help them in building up a brand, reputation management, create a patient relationship and build patient loyalty. Loved by Healthcare Consumers To find advice and new treatments, healthcare consumers widely use social media. This creates an opportunity for providers to connect with consumers through various forms of healthcare educational content. More than 40 percent of consumers believe that social media in healthcare affects their wellness decisions and health. Among 18 to 24 years old, 90 percent of people trust the medical information they get on social media. This shows the importance of healthcare providers on social media channels. Mobile healthcare is expanding as consumers depend more on the internet for information. Countless fitness and health apps are available online. However, many of them are not effective and do not cure diseases but can change behaviors. Having an app will help you increase your accountability, as a provider, among consumers. Positive Impact of Social Media on Healthcare The healthcare community is widely embracing the scope of social media in healthcare. Healthcare technology providers, hospitals, and other service providers are opening new accounts to create a consistent image among consumers. There are many ways to improve care by reaching out to patients through social media in healthcare. Some of the positive impacts of best practices for social media in healthcare are as follows: Increasing Access Across Generations Healthcare companies have almost stopped employing the traditional ways of advertising. Patients always need quick access to information to reduce the risk of getting flu or to find new providers, including baby boomers, every generation is online. According to Forbes, as of 2017, 9 percent of Facebook users were above 55 years of age. This present generation is very tech-savvy, they search online for local healthcare services and healthcare information. They use Facebook and YouTube. So, you need to create a marketing strategy that targets baby boomers. Generation X also searches health-related topics online, which accounts for 1.5 billion views on YouTube each day. As they care for children and aging parents, they may search for the best long-term care facilities, how to soothe a colicky baby, and so much more. As millennials are focused on healthy living and being cost-conscious, they depend more on social media platforms for healthcare information. Ninety-three percent of millennials say that they do not rely on healthcare providers for preventive health information. Thus, as everyone goes online for healthcare information, healthcare service providers should consider the role of social media in healthcare seriously. By providing reliable and accurate information, healthcare providers can engage with consumers and increase the patient experience through social media. Creating Authenticity The days that the patients trust doctors blindly have gone. Healthcare consumers have become smarter and want to have relationships with providers who care for them. Allowing your tech-savvy employees to share videos and pictures of events or office helps have a human touch. It also improves patient engagement and overall patient satisfaction. If patients know the people in your reception or nurses of respective departments, it helps them relax, engage, and makes them share their health history more openly. This is possible as they connect with those in the office through your social media in healthcare. It increases your authenticity. Keeping an Eye on Competitors Administrators and marketers keep an eye on their competitors through their social media platforms. They evaluate pain points, community involvements, service lines, and marketing strategies sitting in their offices. Hospitals and other providers can quickly get feedback on technologies and marketing strategies the competitors are using. This would help them if they want to incorporate these things in their care process before investing. You can take note of the social media platforms where your competitors are performing well. This approach to social media in healthcare would remove the possibility of failure with your social media strategy, especially when you begin with it. Real-time Updates During emergencies and other situations, social media in healthcare allows you to communicate quickly. Social media updates can provide life-saving information, from crisis alerts to census notifications. World Health Organization (WHO) is an excellent example; they provide real-time information to the masses regarding any health crisis, warnings, and other critical safety information during disasters, using social media, especially Twitter. Similarly, by providing real-time information to your consumers through your social media channels, you can increase your authenticity, authority, and dependency. Real-time access to information saves lives. Gathering Feedback Patients often want to communicate with their doctors quickly. They may need to share something about a recent appointment or about a reaction they had to medication. Making patients provide feedback on social media helps you learn how they feel about their medicine and care. You can get essential feedback that might help you improve your care. It also helps you recognize and reward the staff that the consumers recognize. As a provider, you can also get back to them for additional information after the feedback you get from them on social media. This possibility of social media in healthcare will work more to provide better care next time. Social Media for the Future Social media in healthcare is going to stay here and have advancements from time to time. Most of the modern consumers are tech-savvy and want to have everything at their fingertips. Modern patients have no patience. Therefore, social media works to engage patients and enhance the patient experience and satisfaction. Whether you are a large service provider, a solo practitioner, or run a hospital, you need a social media presence. For engaging with your community, social media in healthcare helps a lot. It can make an impact beyond your imagination. Use these strategies to improve the quality of the healthcare you provide. It may be a tiresome job to do it all alone. We, at Media7, provide social media services to engage your consumers. Whether you are a service provider or a technology provider, we are here to help you with our compelling social media strategies. We help healthcare companies generate leads, brand themselves, increase sales, and make them your happy customers. For more details about us, visit https://media7.com/. Frequently Asked Questions What are the advantages and disadvantages of using social media in health care? When used cautiously, social media can provide clear benefits, such as clinical education, professional networking, and patient’s health promotion. However, there can be disadvantages too, including privacy and confidentiality of patients, resulting in formidable consequences. How has social media influenced the marketing of health care? For establishing public awareness and managing reputation, social media is practical means. As part of an effective marketing plan, social media has become an essential medium for healthcare professionals to interact with consumers and engage them. What is the Importance of Social Media in the hospital? By providing important and general information on healthcare, hospitals can make their presence more valuable to consumers. Encouraging patients to share their feedback and thoughts makes hospitals connect with them and improve the care process. { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [{ "@type": "Question", "name": "What are the advantages and disadvantages of using social media in health care?", "acceptedAnswer": { "@type": "Answer", "text": "When used cautiously, social media can provide clear benefits, such as clinical education, professional networking, and patient’s health promotion. However, there can be disadvantages too, including privacy and confidentiality of patients, resulting in formidable consequences." } },{ "@type": "Question", "name": "How has social media influenced the marketing of health care?", "acceptedAnswer": { "@type": "Answer", "text": "For establishing public awareness and managing reputation, social media is practical means. As part of an effective marketing plan, social media has become an essential medium for healthcare professionals to interact with consumers and engage them." } },{ "@type": "Question", "name": "What is the Importance of Social Media in the hospital?", "acceptedAnswer": { "@type": "Answer", "text": "By providing important and general information on healthcare, hospitals can make their presence more valuable to consumers. Encouraging patients to share their feedback and thoughts makes hospitals connect with them and improve the care process." } }] }

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Health Technology, Digital Healthcare

Future of Telehealth Reimbursement: Offering Medicare Telehealth Services?

Article | September 7, 2023

While many United States healthcare providers are returning to their in-person offices, many others are digging in to offer hybrid telehealth or exclusive telehealth practices moving forward. Understanding the future of telehealth reimbursement is then a pivotal issue. As a hub for telehealth consultants and trainers, the Telebehavioral Health Institute (TBHI) is receiving daily requests for assistance from behavioral health groups and independent practitioners seeking to position themselves for telehealth expansion optimally.

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Digital Healthcare

Transforming Digital Healthcare Software through AI-Enhanced UX Testing

Article | November 29, 2023

Embracing the AI Revolution: Transforming Digital Healthcare Software through AI-Enhanced UX Testing The wave of demographic change sweeping the United States presents an urgent call to action for healthcare providers. According to the US Census Bureau, adults over 65 will account for a quarter of the US population by 2060, signaling a drastic shift in healthcare delivery needs. More than half a million of this demographic will be centenarians, accentuating the need for digital experiences tailored to seniors' unique needs. Despite the rapid advancement of digital health technologies, research indicates that many senior citizens struggle to adapt. A recent study reported that 40% of adults over 65 believe their telemedicine visit was inferior to traditional in-person care, with a meager 5% finding it superior. The promise of convenience delivered by digital health is often overshadowed by the frustration associated with technical difficulties. An astounding 75% of senior citizens admit they need assistance when using new electronic devices. Let's consider the patient portal app, a common touchpoint in the digital health journey. Despite its apparent simplicity, seniors find processes like logging in troublesome due to issues like forgotten passwords, technical bugs, or content readability. This scenario underlines the crucial need for comprehensive User Experience (UX) testing to eliminate these barriers and provide a seamless digital health experience. The Complex Landscape of Healthcare UX Testing The complexity of UX testing in healthcare has been exacerbated by the interplay of multiple modules, services, platforms, and vendors. Take Electronic Medical Record (EMR) systems, for instance, which undergo frequent updates, each one potentially impacting the system as a whole. Traditional manual testing methodologies are proving to be time-consuming and costly. Though automation has revolutionized sectors from automotive to finance, the healthcare industry appears to be lagging. A study by the Health Information and Management Systems Society (HIMSS) reveals that a mere 15% of healthcare providers have adopted modern test automation platforms. Meanwhile, a significant 41% still rely on manual testing. As EMR systems grow increasingly complex and customized, this over-reliance on manual testing poses daunting challenges. The gravity of this issue is amplified by a startling revelation from the HIMSS study - only 6% of healthcare executive leaders express confidence in their organizations' testing practices. In an increasingly digitized healthcare environment, such a low level of assurance raises substantial concerns about patient safety. Although 75% of the surveyed providers have invested in software testing to safeguard their bottom lines, nearly two-thirds confess feeling inadequately resourced in terms of time, money, and talent to meet future testing requirements. As the list of testing demands grows, QA teams are frequently stretched thin, leaving many potential user journey scenarios untested. The Power of AI in UX Testing for Better Patient Outcomes AI technologies hold the potential to revolutionize UX testing in healthcare. The modern healthcare application is a labyrinth of potential user journeys - a typical mobile application model can yield over 9 billion separate scenarios. To effectively navigate this colossal testing landscape, test automation tools employing Machine Learning (ML) algorithms are critical. By analyzing historical patterns, prioritized cases, and real-user insights, ML algorithms can auto-generate test cases and meticulously scrutinize each user interaction. This approach ensures an optimal digital experience and robust coverage of potential issues. The HIMSS study also provides a glimmer of hope, revealing that nearly 80% of healthcare providers plan to adopt real-time testing analytics for quality assurance. AI's role becomes pivotal in augmenting the capacity of software testing teams in this scenario. By leveraging historical patterns and prioritizing test cases, ML-powered testing tools can automate crucial tests across various platforms, devices, and operating systems. This symbiosis of human expertise and AI not only bolsters productivity but enables comprehensive testing coverage within tight time constraints. The Future of Healthcare Software UX Testing The path to perfecting a patient’s digital journey is fraught with challenges. Healthcare organizations venturing into automated software testing or contemplating in-house tool replacement must stay abreast of evolving healthcare testing requirements. This understanding is key when evaluating automation vendors against the backdrop of regulatory standards. Opting for a technology-agnostic solution ensures extensive test coverage, boosts efficiency, and guarantees longevity as technologies advance. Introducing your software QA teams to user-friendly, low/no-code test automation tools can simplify the onboarding process and fosters better collaboration with Dev teams and business testers. As we stand at the precipice of this transformative period in healthcare, it's clear that the AI revolution holds the key to unlocking the future of digital healthcare UX testing. By harnessing AI's potential, healthcare providers can ensure a user-friendly, seamless digital experience for the fastest-growing demographic, setting new industry standards in the process.

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What’s the Best Post-COVID-19 Anesthesia Business Model -Hospital-Based or ASCs?

Article | February 19, 2022

Anesthesia groups face major challenges in the aftermath of the pandemic: Financially strapped hospitals are increasingly unwilling or unable to pay anesthesia subsidies, and a shortage of qualified anesthesiologists and CRNAs is making recruitment extraordinarily competitive. The good news is that anesthesia opportunities are plentiful in the ambulatory surgery center (ASC) market. As more inpatient procedures migrate to ASCs, anesthesia practices can help meet demand by working with hospitals and ASCs. A dual-contracting approach can help increase revenue, reduce operational risk, enhance recruiting leverage, and present opportunities for equity investments in ASC ventures. Expanding ASC Case Mix Multiple factors are driving increased ASC volume.Consumers have long been attracted to the convenience andfast turnaround timesASCs offer, and as the pandemic began to take hold and patients worried about becoming infected in hospitals, theirpopularityincreased. But even before the pandemic hit, theuse of ASCs was growing,with the number of centers increasing 7.1% annually since 2016.1No doubt this was in part driven by Medicare restricting fewer surgeries to the inpatient only (IPO) setting. This year alone, Medicare is adding 11 orthopedic procedures to the ASC-approved list, including total knee arthroscopy (TKA) and total hip arthroscopy (THA).2Commercial payersare alsofuelingASC volume by promotingthis venue as a lower-cost option to members.Lastly, with more than 90% of ASCs at least partially owned by physicians,providers themselvesare driving moreprocedures to this setting. Hospitals Become ASC Buyers For years, hospitals viewed ASCs as direct competition and discouraged or even prohibited inpatient anesthesia practices from contracting with them. But that dynamic is changing as more hospitals become buyers or majority investors. According to a recent survey, the percentage of hospitals and health systems planning to increase their investments in ASCs rose from 44% in 2019 to 67% in 2020, with 75% of 200-plus-bed hospitals already owning more than one ASC.3Hospitals view these investments as a way to enhance physician relationships and increase surgical capacity. The Benefits of Practice Diversification For anesthesia practices that elect to contract with both hospitals and ASCs, a key benefit is improved profitability, since average ASC case reimbursements are higher than average hospital cases due to better payer mix and more efficient room turnover. Groups that work with multiple organizations also reduce their institutional or operational risk by limiting their exposure to potential financial problems associated with a single contracted entity. Practices likewise gain an edge when it comes to recruiting in today’s highly competitive anesthesiologist and CRNA market. One of the chief benefits of ASC involvement is being in a position to offer a better work-life balance by spreading call responsibilities across a larger physician call pool. The math is simple: If a hospital group has seven physicians, each must provide call coverage once a week. But if the group also contracts with five ASCs and brings on five additional doctors to staff the facilities, individual call responsibilities are reduced to once every 12 days. The importance of mitigating call duties to improve the work-life balance for both experienced clinicians and new hires can’t be overstated, particularly as hospitals work to streamline OR throughput by increasing the number of surgical procedures. Groups can also explore a range of creative compensation approaches, including essentially selling call opportunities to newly hired or recent graduate anesthesiologists as additional avenues to attract qualified clinicians while easing the burden on senior anesthesiologists. Equity Opportunities Among the most intriguing aspects of ASC involvement is the potential for becoming an equity stakeholder in the business. Surgeons traditionally have been the primary drivers in creating ASCs, but new opportunities exist for anesthesiology groups, particularly if their hospital is buying an existing ASC or developing a new ASC venture and looking to diversify the ownership group. The idea of anesthesia ownership isn’t as crazy as it might sound. Like surgeons, anesthesiologists are integral to the success of an ASC, and like surgeons, they get there early and stay late. It’s no secret that joint ownership can greatly improve relations between the practice and the hospital, since both are now working toward the same objectives. Groups can also make more money. I met with a surgical group not long ago with a 49% ownership stake in a hospital. That equity generated an additional $80,000 per year for each physician partner. How much you can make, of course, depends on your specialty, your level of ownership, and the volume of business. But you’ll never know until you try. Outside Expertise The pandemic has unleashed numerous changes throughout healthcare, and where the dust will eventually settle isn’t entirely clear. But what is certain is that for organizations to remain viable, they’ll need to be flexible and look hard at nontraditional business opportunities. Contracting with both hospitals and ASCs represents one such approach for anesthesia groups. If you’re interested in exploring this and other business possibilities but don’t know where to start, Change Healthcare can help. Our team of expert anesthesia practice-management consultants have an average of 18 years’ experience in the specialty. We can be engaged on a per-project basis or we can provide our consultant services as part of our turnkey anesthesia-billing solution. Our anesthesia revenue cycle management services can be deployed either on our own proprietary anesthesia-billing platform or on your hospital billing system. Either way, we’ll provide seamless, end-to-end service.

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Sentara Healthcare

Sentara Healthcare celebrates a 125-year history of innovation, compassion and community benefit. Based in Norfolk, VA, Sentara is a diverse not-for-profit family of 12 hospitals, an array of integrated services and a team 26,000 strong on a mission to improve health every day.

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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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