Cascala Health

Healthcare AI is becoming increasingly sophisticated, but it still requires a human in the loop. ? Healthcare is too nuanced, and the stakes are too high to leave everything up to AI algorithms that are prone to hallucinations. Clinicians must have oversight of AI outputs, not only to prevent errors, but to enhance confidence and reinforce trust. By integrating clinician oversight into the AI workflow, healthcare organizations can ensure that technology supports, rather than compromises, patient care. ? Read more by Matt A. Murphy: https://lnkd.in/dYvfMbDB I #HealthcareAI #ClinicalAI #Healthcare

?? We’re Hiring a Product Manager - Care Transitions Platform (Healthcare) with Cascala Health! Are you passionate about transforming patient care with innovative technology? Cascala Health is redefining care transitions with Clinically Responsible AI, ensuring high-risk patients don’t fall through the cracks during handoffs. Our platform provides real-time risk insights and actionable interventions, empowering patients, caregivers, and providers to stay aligned for better outcomes. We’re looking for a dynamic Product Manager to lead the development of our cutting-edge Care Transitions platform. This fully remote role offers the opportunity to work closely with engineering and clinical teams to simplify complex healthcare workflows, integrate data from EMR/EHR systems, and improve care coordination during patient discharge. You are also working with an amazing team, alongside people like Matt A. Murphy and Himanshu Chaudhary. What You’ll Do: ?? Shape the product strategy and roadmap, driving innovation in care transitions. ?? Collaborate with providers and risk-bearing organizations to create user-centric solutions. ? Ensure compliance with healthcare regulations like HIPAA and HITECH. ?? Lead Agile product management practices and track key performance metrics. What You’ll Need: ?? 5+ years in product management, with 2+ years in healthcare technology. ???? Expertise in care transitions, patient discharge workflows, and healthcare data formats like HL7 and FHIR. ?? Hands-on experience building 0-to-1 products in fast-paced environments. Why Join Us? At Cascala Health, you’ll help create a compassionate, AI-enabled healthcare system that prevents unnecessary clinical events, improves outcomes for high-risk patients, and reduces the total cost of care. Your work will directly impact patients, providers, and the future of healthcare. Sound like you? Apply now using the link below or tag someone who’d be a great fit! #ProductManagement #HealthTech #AI #HealthcareInnovation #RemoteJobs https://lnkd.in/gvNweCmU

National Association of ACOs is lobbying for the extension of the CMS REACH program in wake of the news that it achieved $1.54 billion in gross savings and $694.6 million in net savings in 2023. ? "Overall, 73% of ACOs earned savings, demonstrating the model's effectiveness. ACOs were able to reinvest $948 million in savings to provide better patient care leading to improved quality scores between 2022 and 2023," Aisha T Pittman, senior VP of government affairs for NAACOS, said in a prepared statement. ? The ACO Realizing Equity, Access and Community Health model is set to expire in 2026 and CMS hasn’t announced whether it will extend the program. ? Read more in Healthcare Finance News: https://lnkd.in/dRMkgXKe I #ACO #CMS #ACOREACH #NAACOS

Medicare Shared Savings Program ACOs generated $5.2 billion in savings last year, according to Centers for Medicare & Medicaid Services. ? The MSSP ACOs saved Medicare $2.1 billion in 2023, up 16.7% from $1.8 billion in 2022. Doctors, hospitals and other providers that collaborated in MSSP ACOs earned $3.1 billion in performance bonus payments last year, compared to $2.5 billion in 2022. ? ACO performance improved on quality measures, including those linked to diabetes and blood pressure control, and screenings for breast cancer, colon cancer and fall risks. ? Read more here: https://tiny.cc/r74tzz I #ACOs #Medicare #HealthcareSavings #MSSP #CMS

National Association of ACOs (NAACOS) has come out in support of the final Medicare physician fee schedule. ? In a statement, NAACOS praised Centers for Medicare & Medicaid Services (CMS) for “finalizing policies that protect against significant and unusual billing anomalies, thus fostering long-term stability and certainty for ACOs.” The organization also praised other CMS actions, including offering prepaid savings for successful ACOs. ? NAACOS did temper its praise with some criticism, faulting CMS’ new quality reporting requirements, for example. ? Read more about what the association had to say: https://bit.ly/3YCMy8K I #ACOs #CMS #Medicare #PhysicianPay

Implementing an effective AI risk management protocol takes more than deterministic rules or statistical models. ? It requires a hybrid system that merges both approaches: deterministic rules to catch obvious issues and statistical insights to handle the complexities of real-world data. This ensures scalable oversight without sacrificing accuracy or safety. ? Find out more about this layered approach to AI risk management from our CEO and co-founder, Matt A. Murphy: https://lnkd.in/eK2ksHTV I #HealthcareAI #AIRiskManagement #AI #ResponsibleAI

Participants in the largest Medicare ACO model are calling on Centers for Medicare & Medicaid Services (CMS) to extend the program after it produced record savings. ? The ACO Realizing Equity, Access and Community Health, or?ACO REACH, model collectively generated $1.6 billion in gross savings and $695 million in net savings in 2023, according to a new report from CMS. Nearly three-quarters of participants earned net savings. ? However, ACO REACH is set to expire in 2026 and CMS hasn’t announced whether it will extend the program. ? Read more here in Modern Healthcare: https://lnkd.in/e3iXXMMb I #ACO #CMS #Medicare

Caregivers would benefit from improvements in the care transition process, according to a new study in Boston Medical Center (BMC) Geriatrics. ? The study examined whether caregivers felt a change in their burden following a care transition and what could be improved to reduce it. Caregivers reported dissatisfaction overall and singled out inadequate communications as a particular problem. ? Our care transitions platform gives caregivers, patients, providers, and risk-bearing organizations the clinical information they need to provide optimal care and avoid readmissions. ? https://lnkd.in/ezMMW6WJ I #CareTransitions #ACOs #VBC #Caregivers #ImprovedOutcomes

A new report from the National Association of ACOs (NAACOS) highlights 5 strategies that have driven the success of ACOs in adopting value-based care. ? The core strategies: 1?? Working across payers 2?? Fostering a high-value culture 3?? Leveraging data 4?? Implementing clinical interventions 5?? Engaging patients ? Read more here: https://lnkd.in/eQyQSvp5 I #ACOs #AccountableCare #VBC #CareTransition #ValueBaseCare

As #ACO participation grows, so does the documentation burden on physicians, often shifting their focus from patient care to administrative tasks. Simplifying information sharing across care settings is critical to reversing this trend. At Cascala Health, we believe that #ResponsibleAI can streamline workflows, reduce redundancy, and support physicians in delivering high-quality, patient-centered care. By focusing on intelligent data flow and ease of use, we aim to empower healthcare teams to focus on what matters most—caring for patients. Read more: https://lnkd.in/eZWSiWum?#HealthcareAI #ValueBasedCare #CareTransitions #PhysicianSupport #HealthTech | AJMC - The American Journal of Managed Care