Louisiana looking for new Medicaid managed-care companies

Louisiana on Monday issued a request for proposals for managed-care companies hoping to serve the state's more than 1.5 million Medicaid members under new contracts beginning in January 2020. Louisiana will award contracts to up to four managed-care companies, down from five insurers today. Those five, whose current contracts will expire at the end of this year, are Aetna, AmeriHealth Caritas, Anthem's Healthy Blue, Centene's Louisiana Healthcare Connections and UnitedHealthcare. The new contracts will last for three years with an option to extend for an additional two years. The contracts are worth a total of roughly $12 billion, Leerink Partners analyst Ana Gupte wrote in a research note.

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ClosedLoop Introduces Data Science Products for Value-Based Healthcare

ClosedLoop | September 20, 2023

ClosedLoop, a prominent healthcare data science platform, has formally introduced two novel data science solutions. These solutions, namely, ACO-Predict and Evaluate, are crafted to assist healthcare organizations in the comprehensive analysis, assessment, ongoing surveillance, and enhancement of their programs, with the objectives of minimizing adverse events, enhancing health outcomes, and curtailing expenditures. ClosedLoop's offering, ACO-Predict, marks the healthcare sector's inaugural no-cost AI-powered solution for population health risk stratification. It harnesses the same algorithms that propelled ClosedLoop to garner fame in the 2021 CMS AI Challenge and earned the Best in KLAS Healthcare AI ranking for 2022 and 2023. When integrated with the updated Beneficiary Claims Data API data feeds from the Centers for Medicare and Medicaid Services, the product furnishes Medicare Accountable Care Organizations with a turnkey risk stratification tool for Complex Care Management programs, all free of charge. Meanwhile, the company's second product, ClosedLoop Evaluate, is a SaaS solution designed to evaluate and continuously monitor the efficacy of intricate population health initiatives over extended durations. Quantifying the impact and ROI of Population Health programs has presented significant challenges. Organizations often need to resort to imprecise pre- and post-assessments or enlist costly consulting firms for one-off outcome research studies to understand the actual effects of their programs. ClosedLoop’s solutions aim to improve healthcare organizations' outcomes and offer essential patient support. Jennifer Zbell, VP of Clinical Analytics at Healthfirst, stated, ClosedLoop provided the quantitative evidence we needed to increase investment in successful programs." She added, "Evaluate gives us the confidence to examine our programs across the board so we can better see what's working, when it's working, and who it's working for. [Source – Business Wire] ClosedLoop Evaluate represents a pioneering industry solution that not only supplants these studies with software-driven evaluations but also facilitates the ongoing assessment of program impact amid evolving programs and populations. Andrew Eye, Co-Founder and CEO of ClosedLoop concluded that success in value-based care hinges on two key aspects: accurate prediction and effective intervention. ACO-Predict delivers AI-powered prediction capabilities to all medicare patients nationwide at no cost, ensuring access to necessary assistance regardless of location or ACO resources. About ClosedLoop ClosedLoop is a dedicated data science platform tailored to the healthcare sector, simplifying the integration of AI technology to enhance outcomes and curtail expenses. Uniquely designed for the healthcare domain, the company merges an intuitive, all-encompassing ML platform with an extensive repository of healthcare-specific functionalities and model templates. Customers leverage ClosedLoop's Explainable AI capabilities to facilitate clinical excellence, streamline operational processes, navigate value-based contracts, and bolster revenue generation in the healthcare industry.

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Health Technology, Digital Healthcare

Montage Health Launches Innovative At-Home Patient Monitoring Service

Montage Health | September 22, 2023

Montage Health Connected Care has launched an advanced service to enhance the quality and accessibility of healthcare for patients. This home-based patient monitoring service, supported by Cadence, is designed to offer proactive healthcare to individuals managing chronic medical conditions. Dr. Mark Carvalho, Chief Executive Officer of Montage Medical Group, explained that the program lessens the need for emergency department visits by extending care directly to patients' homes. He emphasized that this approach offers mutual advantages for patients and healthcare providers. Patients can gain access to an expanded care team from the comfort of their homes. At the same time, he added that clinicians will benefit from improved insights into disease progression and receive support from a nurse-practitioner-led care team, ultimately enhancing patient safety. Montage Health's advanced remote care initiative represents a significant progression in its dedication to providing exceptional, personalized, value-based healthcare tailored to individual needs and objectives. This program combines cutting-edge remote monitoring technology with a clinical care team under the direction of nurse practitioners to enable real-time collection, analysis, and response to patients' vital signs. It will support patients with medication management, laboratory assessments, and coaching to ensure outstanding healthcare and promote optimal well-being. The process involves the daily use of smart devices for remote vital sign monitoring and remote care telephone consultations involving a diverse healthcare team. Chris Altchek, CEO and Founder of Cadence said, Montage Health exemplifies best-in-class preventative, restorative, and coordinated care with their strong track record of innovative programs and collaborative partnerships. [Source – Business Wire] Medicare beneficiaries will gain access to this offering at Montage Medical Group locations, resulting in reduced healthcare costs. This will also empower healthcare professionals to provide patients with better, more effective care. About Montage Health Montage Health is a local non-profit organization that delivers exceptional healthcare and promotes optimal health. The company strives to provide coordinated care that meets individual needs through its subsidiaries and partnerships with healthcare providers and community organizations. Its entities include Community Hospital of the Monterey Peninsula, Montage Medical Group, Montage Health Foundation, Montage Wellness Center, Aspire Health, and MoGo Urgent Care. About Cadence Cadence is a healthcare technology firm that assists the most patient-focused healthcare systems in consistently delivering proactive healthcare. The company's remote patient intervention solution blends technology and clinical expertise to deliver a tailored and precise standard of care that extends beyond the hospital's physical boundaries.

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Health Technology, Digital Healthcare

Virgin Pulse and HealthComp Announce Intent to Merge to Create Comprehensive Employer Health Platform

PR Newswire | September 29, 2023

Virgin Pulse, a leading global digital-first health, wellbeing, and navigation company, today announced its intent to merge with HealthComp, a next-generation benefits and analytics platform. The merger will create a technology and data powered health platform-as-a-service organization poised to tackle some of the industry's biggest challenges. The combined entity will aim to improve health outcomes and lower costs for members and employers by empowering better information and decision making. By using an advanced technology and data platform that leverages AI, the combined organization will deploy innovative and flexible health plan designs that drive improved member health outcomes, engagement, and awareness across the most important aspects of a person's healthcare journey. As the healthcare industry evolves, the desire for an integrated experience in the employer-sponsored benefits ecosystem has grown exponentially. This combination will create a set of assets that will integrate plan design, plan management, payment integrity, health navigation, preventative care, and digital therapeutics through the Homebase for Health® user-centric platform. Together, the combined entity expects these assets will create a better experience and lower costs for members and employers, while providing expanded opportunities for insurers and brokers to continue to partner with the combined entity. "This combination with HealthComp creates a new category in the health space that will change the way employers address the two-fold challenge of reducing costs and improving member outcomes. Our two companies have a shared mission to improve individual outcomes by engaging users early and often, and making health and wellbeing more accessible, affordable, and personal for all," said Chris Michalak, Virgin Pulse CEO. "Together, we are addressing a problem that has plagued the industry for years – a misaligned, complex benefit structure that results in unmet needs and escalating costs. We are eliminating waste, friction, and preventable risks by putting members and their needs at the center of the ecosystem." "Self-insured employers pay for almost half of the nation's healthcare expenditures and now require more innovative and affordable solutions," said Chad Harris, HealthComp CEO. "With concierge-level service, rich analytics, and expert medical cost management, HealthComp ensures that employers can make informed benefits decisions that align with the needs of their employees and businesses. Powered by Virgin Pulse's daily wellbeing engagement and data-driven personalization, this transaction creates an end-to-end platform that will radically lower costs and improve member outcomes." [Source – PRNews Wire] "The combination of Virgin Pulse and HealthComp creates the first national value-based care platform company focused on employee health and outcomes. We are excited to work with Morgan Health, Blackstone, and Marlin to bring innovation at scale to this market," said Matt Holt, President, Private Equity and Managing Director at New Mountain Capital. "We have been working to build an innovation platform company in the employer space for more than five years. This transaction represents a significant milestone by forming a leading platform-as-a-service company focused on delivering better outcomes and greater affordability," added Kyle Peterson, Managing Director at New Mountain Capital. "The employer-employee health landscape is ripe for change and the mission of the combined HealthComp and Virgin Pulse is aligned with Morgan Health's mission to improve the quality, equity, and affordability of employer-sponsored health care," said Dan Mendelson, CEO of Morgan Health. Upon closing of the transaction, Chris Michalak will serve as CEO of the combined entity, where he will continue building upon the Homebase for Health vision and expanding the value proposition for clients and the market at large. The combined entity will serve more than 20 million members and address costs for more than 1,000 self-insured employers. HealthComp's powerful analytics will also benefit Virgin Pulse's health plan and health system clients by providing closed-loop data on health outcomes and the true ROI of investing in member experience and wellbeing programs. The merger is expected to close in Q4 2023, subject to regulatory approvals and satisfaction of all closing conditions under the definitive agreement. Financial details of the transaction have not been disclosed. HealthComp is backed by New Mountain Capital and Virgin Pulse is backed by Marlin Equity Partners. New Mountain Capital will be the majority owner of the combined entity. Blackstone Credit has committed to support the deal with strategic financing. J.P. Morgan Securities LLC acted as financial advisor to HealthComp. HealthComp's legal counsel was Ropes & Gray LLP. Evercore acted as financial advisor to Virgin Pulse, with Kirkland & Ellis LLP and McDermott Will & Emery LLP serving as legal advisors. About Virgin Pulse Virgin Pulse is a leading digital-first health, wellbeing, and navigation company that empowers organizations across the globe to activate populations, improve health outcomes, and reduce spend in an era of accelerating cost and complexity. Virgin Pulse's Homebase for Health® connects data, people, and technology to deliver high tech, human touch experiences that engage and reward individual journeys. Virgin Pulse impacts over 100 million people across 190 countries by helping Fortune 500, national health plans, and many other organizations change lives – and businesses – for good. About HealthComp HealthComp, a New Mountain Capital company, has a customized and responsive approach to health benefits administration. We advocate for our members to get the best possible care suited for their unique needs. Our next generation benefits and analytics platform brings together concierge-level service, best-in-class operations, powerful analytics, and expert medical cost management. HealthComp integrates seamlessly with any benefits ecosystem to drive a personalized experience that delivers higher clinical outcomes at lower costs. HealthComp has offices in California, Illinois, Kentucky, West Virginia, Louisiana, and Pennsylvania. About New Mountain Capital New Mountain Capital is a New York-based investment firm that emphasizes business building and growth, rather than debt, as it pursues long-term capital appreciation. The firm currently manages private equity, credit and net lease investment strategies with over $45 billion in assets under management. New Mountain seeks out what it believes to be the highest quality growth leaders in carefully selected industry sectors and then works intensively with management to build the value of these companies. About Marlin Equity Partners Marlin Equity Partners is a global investment firm with approximately $9 billion of capital commitments. The firm is focused on providing corporate parents, shareholders and other stakeholders with tailored solutions that meet their business and liquidity needs. Marlin invests in businesses across multiple industries where its capital base, industry relationships and extensive network of operational resources significantly strengthen a company's outlook and enhance value. Since its inception, Marlin, through its group of funds and related companies, has successfully completed over 200 acquisitions. About Morgan Health Morgan Health is a JPMorgan Chase business unit focused on improving employer-sponsored health care. Through its investments and the advancement of accountable care, Morgan Health is working to improve the quality, equity and affordability of employer-sponsored health care for JPMorgan Chase employees, their families and the U.S. health system. The business is led by Dan Mendelson, CEO of Morgan Health, reporting to Peter Scher, Vice Chairman of JPMorgan Chase & Co. and a member of the firm's Operating Committee. Morgan Health is headquartered in Washington, D.C. About Blackstone Blackstone is the world's largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems. Our $1 trillion in assets under management include investment vehicles focused on private equity, real estate, public debt and equity, infrastructure, life sciences, growth equity, opportunistic, non-investment grade credit, real assets and secondary funds, all on a global basis.

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MongoDB Launches New Initiatives to Accelerate Modern Application Development for Healthcare and Insurance Organizations

PR Newswire | October 06, 2023

MongoDB, Inc. at MongoDB.local Boston, announced the launch of MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance, two new initiatives that help companies in these industries accelerate their pace of innovation and better serve end-users with modern, data-driven applications. MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance include expert-led innovation workshops, tailored technology partnerships, and industry-specific knowledge accelerators to provide customized training paths designed for a range of use cases that developers in these industries work with. To learn more about MongoDB Atlas. "Organizations in the healthcare and insurance industries depend on large volumes of highly sensitive data to make critical decisions about patient care and coverage policies for customers. However, these industries face challenges not only from legacy applications that rely on siloed data, but also complex networks of providers and organizations. These constraints prevent them from realizing the full potential of their data," said Boris Bialek, Field CTO of Industry Solutions at MongoDB. "With the launch of MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance, we're alleviating these challenges by providing organizations with the tools required to build modern applications that increase operational efficiency and productivity. Deploying modern applications with MongoDB can help increase interoperability across entire enterprises that enable healthcare organizations to harness real-time patient insights and build personalized care pathways, and for insurers to capitalize on AI, machine learning, and advanced analytics to modernize their underwriting and claims processes." MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance include solutions and capabilities that can help organizations reimagine how they interact with end users by deploying data-driven applications with the flexibility, security, and resilience the healthcare and insurance industries require: Migrate and modernize legacy applications with minimal risk and zero downtime: For organizations in the healthcare and insurance industries that want to move from legacy relational databases to modern applications on MongoDB Atlas, MongoDB Relational Migrator reduces the time, cost, and risk typically associated with these projects–making it significantly faster and easier to optimize operations and accelerate innovation. MongoDB Relational Migrator analyzes legacy databases, automatically generates new data schema and code to operate migrated applications, and then executes a seamless migration to MongoDB Atlas with no downtime required. Organizations can run the migrated, modernized application in a testing environment before deploying to production to ensure it is optimized and performing as intended. MongoDB Relational Migrator provides companies in the healthcare and insurance industries with the flexibility to move to MongoDB Atlas quickly and efficiently, so they can focus on building and shipping world-class applications. Protect sensitive data throughout applications: With MongoDB Queryable Encryption, healthcare and insurance organizations can ensure full-lifecycle encryption of sensitive data—including patient records, medical histories, and insurance claims—not only in-transit over networks and at-rest during storage, but also while data is in use during querying. MongoDB Queryable Encryption provides state-of-the-art encryption that helps reduce data exfiltration and operational risk with an easy-to-use capability organizations can use to secure highly sensitive workloads with no cryptography expertise required. With MongoDB Queryable Encryption, developers in these industries working with highly sensitive information can protect their data throughout its entire lifecycle when being stored, queried, and processed on MongoDB. Run data-driven applications anywhere: MongoDB Atlas for the Edge enables organizations to deploy applications closer to where real-time data is generated, processed and stored, across mobile and IoT devices, on-premises servers, and multiple major cloud providers. For example, healthcare providers can seamlessly deploy applications across mobile devices and on-premises servers for interacting with patients and accessing medical records when internet connectivity is unavailable—while also ensuring data is synchronized with the cloud once connectivity is available. Insurance companies can also deploy applications across mobile devices for use cases that simplify underwriting, claims processing, and build new cross-industry products and services. MongoDB Atlas for the Edge enables organizations to build, deploy, and manage applications that are accessible virtually anywhere without the complexity typically associated with operating distributed applications at the edge. Reimagine possibilities with innovation workshops: Both MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance include dedicated executive engagement with industry experts from MongoDB and the MongoDB Partner Ecosystem to ideate client-specific solutions using best practices developed through proven industry experience. Healthcare and insurance innovation workshops are tailored to address the unique challenges and opportunities that these organizations face so they can modernize their operations with security and compliance in mind. Jumpstart application development: With MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance, organizations can engage with the MongoDB Professional Services team to take advantage of healthcare and insurance expertise and accelerate projects from concept to prototype to production in less time. Experts from the MongoDB Professional Services team can work backward from an organization's specific challenges to conduct architectural reviews, and help quickly prototype proofs of concept for ideation before moving new applications to production. Upskill teams to quickly build modern applications: MongoDB Atlas for Healthcare and MongoDB Atlas for Insurance provide tailored MongoDB University courses and learning materials, including unlimited access to curated webinars and solutions sessions, to help developers learn how to quickly build modern applications for the healthcare and insurance fields. Organizations can benefit from training new and experienced developers from the ground up on how to build modern, data-driven applications to modernize operations and reimagine end user experiences. GE HealthCare is a leader in precision care, infusing innovation with patient-focused technologies to enable better care. "GE Healthcare turned to MongoDB to manage the lifecycle of our IoT devices, from deployment to retirement," said Emir Biser, Senior Data Architect at GE HealthCare. MongoDB Atlas is a gamechanger. This technology stack is helping us streamline commercialization and bring market-ready solutions to deliver advanced healthcare. Some of the recent tests resulted in an 83% decrease in retrieval time for critical data elements. [Source: PR Newswire] Inovaare Corporation is a leading provider of AI-powered compliance automation solutions for healthcare payers. "Recognizing the significance of compliance in today's healthcare environment, Inovaare sought a solution that could not only help navigate the intricacies of this domain but also bring forth profound industry expertise into the mix," said Mohar Mishra, CTO and Co-Founder at Inovaare Corporation. "MongoDB Atlas fortifies our data infrastructure and enables streamlined data processing for robust analytics and reporting capabilities. Additionally, we rely on MongoDB Atlas Vector Search to deliver context-aware compliance guidance and real-time data-driven insights. MongoDB has been instrumental in helping us consistently deliver state-of-the-art compliance solutions that empower healthcare payers." Redcliffe Labs is India's fastest-growing omnichannel diagnostics service provider focussing on providing quality-led conclusive diagnostics to Indian citizens. "We have been working constantly to improve customer experiences and convenience by embracing innovative technologies," said Prabhat Pankaj, Chief Technology Officer at Redcliffe Labs. "To achieve that goal, we have leveraged the adaptable document database model of MongoDB Atlas to power our Smart Health Report, a resource that summarizes a range of indicators and trackers along with health tips, and dietary recommendations to evaluate holistic health. We are confident that this partnership will enable us to provide our customers with effective services." Helvetia is one of the largest Swiss insurance companies, serving over 7 million personal and corporate customers across Europe. "Insurance policies are composed of many diverse attributes, while customer data is hierarchically structured. Trying to fit these flexible structures into rigid rows and columns of a relational database would add a lot of friction to our developers," said Daniel Maier, Lead Solution Architect at Helvetia. "MongoDB Atlas Search is blazing fast! We can surface relevant results from data sets with tens of millions of documents in around 15ms. Atlas Search has also given us a cleaner and simpler architecture. We can create new indexes in a single API call, and data is automatically synced between the database and search index, giving consistent, high quality query results. Developer and operational overhead is reduced, creating cost and time savings which we can reinvest back into building products for our customers." About MongoDB Atlas for Industries MongoDB for Healthcare and MongoDB Atlas for Insurance are both part of MongoDB Atlas for Industries, a program that helps organizations accelerate cloud adoption and modernization by leveraging industry-specific expertise, programs, partnerships, and integrated solutions. About MongoDB Atlas MongoDB Atlas is the leading multi-cloud developer data platform that accelerates and simplifies building applications with data. MongoDB Atlas provides an integrated set of data and application services in a unified environment that enables development teams to quickly build with the performance and scale modern applications require. Tens of thousands of customers and millions of developers worldwide rely on MongoDB Atlas every day to power their business-critical applications. About MongoDB Headquartered in New York, MongoDB's mission is to empower innovators to create, transform, and disrupt industries by unleashing the power of software and data. Built by developers, for developers, our developer data platform is a database with an integrated set of related services that allow development teams to address the growing requirements for today's wide variety of modern applications, all in a unified and consistent user experience. MongoDB has tens of thousands of customers in over 100 countries. The MongoDB database platform has been downloaded hundreds of millions of times since 2007, and there have been millions of builders trained through MongoDB University courses.

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