Guidehealth Buys Arcadia’s Value-Based Care Service Division

Digital health platform company Guidehealth has acquired the managed services organization (MSO) and value-based care services division of data analytics platform company Arcadia for an undisclosed sum.

Dallas-based Guidehealth also entered into a technology agreement to leverage Boston-based Arcadia data analytics platform, which curates and analyzes a complex network of data sources to improve care delivery and financial performance, to boost your newly acquired offering.

Guidehealth said it supports physicians by strengthening relationships with affiliate networks, improving the financial performance of value-based risk contracts, enabling the growth of high-value referrals and reducing administrative burden. The company describes its platform as a combination of virtually integrated “Health Guides” and native AI workflows to gather predictive data from a patient at the right time to maximize health outcomes and value for both physicians and patients. patients.

Guidehealth’s first customers include Endeavor Health (formerly NorthShore – Edward-Elmhurst Health) and AMITA Health Care Network.

“Guidehealth, now 200 strong, is pleased to welcome a team that has consistently achieved Best in KLAS recognition for the past five years in value-based healthcare services as a managed services organization,” said founder and CEO Sanjay Doddamani, MD, in a statement. “A technology partnership with Arcadia provides us with access to proven technology and deep data management expertise that makes sense for us and the physician partners to take a leap forward, reducing the administrative and clinical burden to manage risk and, most importantly, , serve patients better.

Doddamani was previously CEO of Upstream Health, which works to embed prescribing pharmacists and nurse coordinators into primary care practices. Previously, he was executive medical director at Southwestern Health Resources in Dallas, senior advisor at the Center for Medicare and Medicaid Innovation (CMMI), and chief medical officer at Geisinger.

“Arcadia is proud to have built a legacy of enhancing the capabilities of healthcare organizations to improve clinical and financial outcomes,” Arcadia President and CEO Michael Meucci said in a statement. “Partnering with Guidehealth will allow us to continue helping our clients succeed in value-based care and population health, while allowing us to focus on our core business of providing a leading data platform for healthcare and continue investing in our products that allow more complete care. and transparent decision-making, which will ultimately lead to happier, healthier days for everyone.”

Healthcare innovation recently interviewed Anna Basevich, senior vice president of business partnerships and customer enablement at Arcadia, about the evolution of clinically integrated networks, as well as the company’s work on a population health platform with the state of California to support the effort to Cal-AIM Medicaid transformation.

“We have leveraged a powerful data analytics platform to manage populations across multiple regions, insurers and clinical partners to achieve better patient outcomes and reduce the burden on clinicians,” added Guidehealth CTO and co-founder Michael Gleeson. it’s a statement. “By partnering with Arcadia, Guidehealth has immediate access to one of the best platforms for value-based care. This foundation allows us to focus on predictive and generative AI, through a combination of Guidehealth’s proprietary models and industry-leading AI point solutions. As a result, we are able to address a number of pain points throughout the patient journey and help our clients achieve sustained and predictable savings on value-based care.”

Gleeson is Arcadia’s former chief strategy and innovation officer.

Key services currently offered by Guidehealth’s newly acquired MSO include enhanced processes for access to visits and referrals, prior authorization management and utilization management, network management, and claims payment to healthcare providers, especially in risk arrangements. bilateral.

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