Value Based Payment

Healthcare News of Note: The top 5 reasons U.S. adults say the nation’s healthcare system fails to meet their needs

Nearly three-quarters of adults say the U.S. healthcare system is not meeting their needs in some way, with the length of time to get an appointment the No. 1 reason. The top benefit of using remote patient monitoring during cancer care is to keep the care team up to date on symptoms in between appointments,…

Deborah Filipek June 2, 2023

6 actions for physician practices on signing risk-based contracts

Physician practices are continuing to make the move into value-based payment, and for many, such contracts will present a substantial learning curve. 

Clifford Frank, MHSA May 26, 2023

How managed care contracting strategies promote operational resilience

Read this article for an in depth look on several strategic steps for healthcare leaders to take to benefit their organization's managed care contracting.

HFMA April 28, 2023

Kaiser Permanente is set to acquire Geisinger in a deal with major industry ramifications

In a move with implications for healthcare business models, Kaiser Permanente has announced plans to acquire Geisinger and form a new nonprofit organization. Upon acquisition Geisinger will join Risant Health, an organization that is being launched by Kaiser Permanente’s hospital arm. Geisinger and future acquisitions will operate as distinct entities and retain their current branding…

Nick Hut April 27, 2023

Hospitals are facing a long slog to return to pre-pandemic normalcy, panelists say

The logjam of patients who cannot be seen expeditiously at hospitals is becoming an entrenched problem with no imminent solutions, a CMS leader said this week. “The data tells us healthcare services, particularly for the Medicare population, have not come back to pre-pandemic levels,” said Jonathan Blum, principal deputy administrator and COO with CMS. “We’re…

Nick Hut April 21, 2023

David Johnson: Academic medicine, where privilege compounds dysfunction

Academic medicine combines healthcare with higher education, the two U.S. economic sectors that have exhibited outsized cost growth over the past 50 years. The result is a stunning disconnection between academic medical center (AMC) business practices and the supply-demand dynamics reshaping healthcare delivery. Market, technological and regulatory forces are pushing the healthcare industry to deliver…

David W. Johnson April 14, 2023

4 reasons why now is the time to revisit value-based care

Lessons from the pandemic, investment trends, shifts in Medicare policy, and technological change suggest that now may be the time to reconsider and revisit value-based care. Value-based care has been a hot topic for years now. Every conference, every industry meeting and every publication has talked about the importance of moving “from volume to value.”…

Sarah Wiley February 24, 2023

In federal ACO programs, advocates see signs of slow but steady progress

Growth in accountable care organization (ACO) programs has been inconsistent since the Affordable Care Act made accountable care part of the healthcare lexicon in 2010. Nonetheless, proponents are optimistic about the state of ACOs and their potential in upcoming years, even if there’s uncertainty about CMS’s ability to achieve its stated goal of ensuring every…

Nick Hut February 23, 2023

How Braven Health is looking to improve the lives of New Jersey patients through value-based care

Patrick Young, president of population health for Hackensack Meridian Health and Jeff Smith, chief commercial officer at value-based managed services operator Lumeris, share the success story of payer-provider partnership Braven Health.

Erika Grotto January 30, 2023

CVS Health pushes forward with efforts to reshape segments of the healthcare industry

About two decades after adding the first three MinuteClinics to its stores, in 2005, CVS Health continues to grow as one of the biggest disruptors in healthcare. The company has embarked on a series of strategic transactions that make it a major player across an increasingly large swath of the industry, as described this month…

Nick Hut January 27, 2023
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