LAS VEGAS – The Medicare Shared Savings Program has been one of the most successful programs established by the Centers for Medicare & Medicaid Services to improve quality and save costs. The voluntary program was established through the Affordable Care Act 14 years ago as an alternative payment model that is the essence of value-based…

In the third segment from an extensive video interview with Managed Health Executive, Jaewon Ryu, CEO of Risant Health, discusses the role of prevention and early detection in value-based care. In Ryu’s view, the role is definitional. “Earlier recognition and treatment of disease is what we’re talking about when we talk about value-based care,” says Ryu….

For decades, policy makers have struggled to improve care and control costs for medically complex and socially vulnerable populations, particularly individuals dually eligible for Medicare and Medicaid. Dual-eligible beneficiaries experience high rates of chronic illness, disability, and unmet social needs, and they account for a disproportionate share of Medicare and Medicaid spending. Despite sustained efforts to shift payment…

Behavioral health has entered a new era of accountability. Proof, measurements and improved outcomes are taking on renewed importance during a year that many anticipate will bring heightened scrutiny and uncertainty in the regulatory environment. But a focused pivot from growth to proof does not mean that 2026 will be a year of slowed or…

Health Affairs’ Jeff Byers welcomes Brown University’s Andrew Ryan to the pod to discuss his recent Forefront article that explores whether value-based payment and managed care can lead to addressing the core drivers of spending. Full Article

Primary care is critical for population health, health equity, and the overall efficiency of the health care system.1 It also has been consistently associated with improved life expectancy and reduced health care disparities. The four defining features of high-functioning primary care are: accessibility comprehensive care for most patient problems continuity of care over time coordination of…

I spent most of my space in last week’s blog post thanking AHIP for saving the annual progress report on alternative payment model (APM) adoption from the clutches of the Centers for Medicare and Medicaid Services (CMS) and the Make America Healthy Again movement. I spent the balance of the post on some interesting data from the…