Future Techly’s Post

As I do my Monday morning reading to catch up on the healthcare focused headlines, it is becoming increasingly hard to sift through the noise and the anxiety provoking rhetoric. However, this relatively unassuming article in Modern Health really struck me as being important but easily missed. What Talkspace is doing by partnering with TRICARE and expanding into Medicare and Medicare Advantage is a meaningful step toward better aligning payers and providers around preventive care and early engagement. To me this is a clear reflection of the spirit and policy behind what these programs were always meant to achieve: broader access, reduced stigma, real collaboration to keep people healthier in the long run, and hopefully a reduced rate of utilization of expense acute care. While I fully recognize that this is a business decision and not an act of selflessness on anybody's part, to me this is an example of how the incentive structures around Medicare Advantage and other value focused programming has the potential to drive the industry toward more holistic care models and beyond just the 4 walls of the acute care hospital. This is a reminder that the right policies and incentives can lead to the right business decisions and the right partnerships, ultimately benefiting us as the current and/or future consumers of healthcare.

Starting to see some nice momentum in our customer discussions related to understanding the scope of and readiness to manage the 30-day episode of care to comply with the CMS TEAM program. How is your organization doing in preparing? What are you seeing as the biggest challenges? Kimberly Wagner Enrique Estrada Karen Marie Joswick #bundledpayments #VBC #CMSTEAM #QualityOfCare #PatientJourney #DigitalHealth

🌟 Exciting News from CoreMed Health! 🌟 At CoreMed Health, we’re redefining what it means to take care of your health with our Direct Primary Care (DPC) memberships. Imagine having access to your healthcare provider without the hassle of long waits, complex billing, or limited consultation times. That's the CoreMed Health promise! 👨⚕️👩⚕️ What makes CoreMed Health different? *Unlimited access to your primary care provider with no copays. *Same or next-day appointments for urgent needs. *Comprehensive care including preventive, acute, and chronic care management. *A simple, flat monthly fee with no surprise billing. We believe in a healthcare model that puts the patient first. Our DPC model is designed to focus on you, ensuring you receive the care you need, when you need it, without the constraints of traditional insurance. Join us as we transform healthcare into what it should be: accessible, transparent, and centered around you. 🔗 Learn more about our memberships and how you can join the CoreMed Health family at coremedhealth.com Let’s make healthcare better together! 💙 #CoreMedHealth #DirectPrimaryCare #HealthcareInnovation #PatientCare #HealthcareRevolution

Alignment Health and Clover Health, recently reported significant membership growth and positive financial results, highlighting their strong performance in a competitive landscape. Alignment Healthcare experienced a 35% year-over-year increase in membership, surpassing initial expectations. The company is focused on expanding its presence in existing markets and entering new states, with a goal of reaching adjusted EBITDA profitability in 2025. Alignment emphasizes a value-based approach to care delivery, focusing on improving patient outcomes and controlling costs. Clover Health saw a 27% year-over-year increase in membership, driven by strong performance in New Jersey. Clover achieved high-ranking HEDIS clinical quality scores, demonstrating the effectiveness of its care delivery model. The company emphasized the role of technology, including its Clover Assistant platform, in improving care delivery and enhancing patient outcomes. Learn more: https://hubs.ly/Q032RXLw0

Can we really expect harmony, equity, or value when we’ve pitted payers and providers—the two groups with the highest leverage in healthcare—in win-lose relationships? We all know (and have seen and felt) the answer. The key takeaway from this article: When health system earnings go up, payer stocks go down. This is why we must build toward value-based care. Creating an ecosystem where everyone’s success is measured by the quality of their service to patients means we unify behind what matters most. The leverage applied to undercutting competitors can be applied to lifting each other up. Seamlessness, cohesiveness, collaboration, and a laser-like focus on outcomes—they’re all possible in healthcare. They start with value-based care. https://lnkd.in/gGWHHaPj #valuebasedcare #alignment #healthcare

ObamaCare’s real legacy? Fewer choices and skyrocketing premiums. Read Brian Blase’s critical analysis in National Review. #ObamaCare #HealthPolicy Read here⬇️ https://lnkd.in/ejq2tvNh

Is Obamacare free? HealthPlusLife breaks it down for you. Find out everything you need to know about the costs and benefits of Obamacare with HealthPlusLife. Read more here: https://lnkd.in/edaJJz3A #Obamacare #HealthInsurance #HealthPlusLife

Another healthcare success story! Learn how a major health payer engaged eligible members to explore Medicare Advantage plan options using Drips AI-powered Conversations as a Service, resulting in 20% more conversions and a 76% reduction in cost per sale. https://ow.ly/kEkY50Ttwpx #ItsAllAboutHowYouSayIt #HealthcareInnovation #MemberAcquisition #CustomerEngagement

Elevance Execs Dish on ACA Exchange, Commercial Segment Strategies: Although improving Medicare Advantage margins has been the hottest topic recently in managed care, executives at Elevance Health, Inc. at a recent investor conference made some noteworthy comments about the firm’s commercial and Affordable Care Act... Read More #marketaccess #lifesciences #pbm