Pyx Health Introduces Platform to Support Those Affected by OBBBA
Pyx Health launched an AI-driven platform to help members navigate care, meet new Medicaid and SNAP requirements and address social needs like food insecurity.
INVEST Pitch Perfect Spotlight: How Pear Suite Makes Sure Community Health Workers Get Paid
Pear Suite recently won the payer/provider technology track of MedCity News’ INVEST Pitch Perfect contest. The startup provides a software platform for community health workers that helps them share data, submit claims and maintain compliance.
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RCM Outsourcing: Balancing Human Expertise & Smart Technology
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
Pyx Health Acquires FarmboxRx With $47.5M Funding Boost
Acquiring FarmboxRx will help Pyx Health tackle food insecurity, a challenge many of its members struggle with.
Beyond Screening: Addressing Social Challenges After the Questions Are Asked
SDOH screenings are a critical tool, but they are only the first step. By measuring without offering solutions, we're perpetuating reactivity and creating a system of injustice.
Report: Higher-Rated MA Plans Are Less Available in Vulnerable Counties
Disadvantaged counties are less likely to have Medicare Advantage plans with 4.5 stars or higher and more likely to have plans with 3.5 stars or lower, a new study found.
Cigna Addresses Health Disparities Through $9M Commitment
Cigna announced the launch of the Cigna Group Health Equity Impact Fund and committed $9 million on Monday. It will focus on health disparities in Houston, Texas, and Hartford, Connecticut.
NEMT Partner Guide: Why Payers and Providers Should Choose MediDrive’s TMS
Alan Murray on improving access for medical transportation.
INVEST Pitch Perfect Spotlight: How One Company Is Empowering Individuals through Social and Financial Support
Samaritan provides financial and social support to those without a home. The company was recently crowned winner of the payer/provider track of MedCity News’ INVEST Pitch Perfect contest.
Papa Launches Programs To Address Health-Related Social Needs, Improve Star Ratings
Companion care company Papa has created two programs for health plans: one that addresses social drivers of health and one that aims to improve health plans' star ratings.
Uber Health, Socially Determined Strike Partnership
Through a new partnership, payers and providers will be able to leverage Socially Determined’s social risk data to identify which patients have barriers to accessing healthcare and what those barriers are. Uber Health will then be able to offer its services to support those patients’ specific needs, whether it’s non-emergency medical transportation, same-day prescription delivery or grocery and over-the-counter item delivery.
A Paradigm Shift Towards Reimbursing the Root Causes of Diseases
Medicare needs to incentivize providers by reimbursing them for identifying and addressing social determinants of health. Doing so will ultimately improve patient health outcomes and simultaneously save risk-bearing organizations money.
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MedCity News Pivot Podcast: How Emergency Departments Are Using Real-Time Data to Improve Outcomes
How can AI benefit and improve patient outcome in the emergency department? Watch the latest episode to find out.
Alignment Health: What Are Seniors’ Top Barriers to Care?
A new survey from Alignment Health found that economic instability, food insecurity, lack of support and transportation access are the biggest social barriers for seniors.
Prioritizing SDOH for Patients Living with Chronic Diseases: Compassion, Coordination and Community
As the U.S. healthcare system works to focus on the move to preventive, personalized care for patients, it’s time to turn the tide on diabetes by addressing the three Cs of chronic disease care: compassion, coordination, and community.
UnitedHealthcare Invests $11.1M To Address SDOH Needs
UnitedHealthcare awarded grants to 66 nonprofits across 12 states. The grants will support those struggling with social isolation, behavioral health, food insecurity and other social determinants of health.
Report: MA Enrollees Are More Likely to be Socioeconomically Disadvantaged than Traditional Medicare
The average income of a traditional Medicare enrollee is $85,085, versus $76,720 for a Medicare Advantage enrollee, according to a whitepaper done in partnership between Harvard Medical School and software solutions company Inovalon.
Humana Report: Health-related Social Needs Prevalent Among Dual-eligible and Non-dual-eligible MA Enrollees
A Humana study in Health Affairs found that 80% of dual-eligible beneficiaries had at least one health-related social need in 2019, compared to 48% of non-dual-eligible enrollees. While prevalence was higher in dual-eligible enrollees, non-dual-eligible enrollees shouldn't be overlooked, researchers said.