Health Plans & Payor Services

45% of 2024 Healthcare Payments Flow Through Accountable Alternative Payment Models

Accountable alternative payment models held steady in 2024, according to a survey by America’s Health Insurance Plans. In 2024, 44.9% of healthcare payments stemmed from alternative payment models that ensure provider accountability for quality and cost of care. In 2023, 45.2% of payments fell into this bucket. AHIP worked with CMS and the Blue Cross

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Carousel Capital Closes Continuation Vehicle for Ethos Risk Services

Carousel Capital (Carousel) announced the closing of a continuation vehicle to support the next phase of growth for Ethos Risk Services, a national provider of tech-enabled insurance claims investigation and medical management solutions. The continuation vehicle is anchored by a lead investment from Dextra Partners, with Carousel Capital Partners VI providing a significant investment alongside

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Kaiser Permanente and Renown Health Complete Joint Venture to Serve Northern Nevada

Kaiser Permanente and Renown Health have completed the transaction to finalize their joint venture to operate a health plan and new outpatient care delivery system in northern Nevada. Under the agreement, Hometown Health — the health plan previously owned by Renown Health — is now jointly owned by Kaiser Permanente and Renown Health. This joint

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MedRisk Acquires Horizon Casualty Services

MedRisk, a leading provider of managed care solutions for the workers’ compensation and auto casualty markets, announces the acquisition of the Horizon Casualty Services (HCS) PPO Network business from Horizon Mutual Holdings, Inc. The addition further expands MedRisk’s ability to improve outcomes for patients and strengthen value for clients across the casualty claims industry. This

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