The Medicare Shared Savings Program, or MSSP, is the largest ACO program in Medicare with 10.3 million beneficiaries covered by almost 480 ACOs. Participating ACOs receive a portion of the savings they generate compared to a benchmark, while ACOs with spending exceeding the benchmark might have to pay a penalty. The goal is to improve…
Download Slides Ready to shift into high gear and lead the race? Welcome to the ultimate challenge to the finish line is five-star excellence in medication adherence! In this webinar, we’re not just talking about medication adherence—we’re talking about dominating the track with precision targeting, perfect timing, and a pit crew approach that gets…
Ari Shabat: Well, we just heard a little bit of that from Joel Theisen, founder and CEO from Lifespark, in the previous session. His concept of “choppy interactions” and the effort to build a sensible workflow really ties into admissions — because that’s where value-based care either begins or breaks. Many facilities still treat admissions as…
Both the greatest strength and weakness of the ACO shared savings (MSSP) model is its focus on primary care, particularly chronic disease. ACOs have put patients with diabetes, hypertension, and other conditions usually handled through primary care physicians at the center of care coordination, population health, and care management. But as CMS Value-Based Care’s central…
Care New England Health System in Providence, R.I., has participated in value-based contracting for years with some success. But over the last 12 to 18 months, the health system has reframed how they think about “value” to serve the community better. “The Rhode Island landscape for value-based contracting has been financially challenging, and those pressures…
Mounting financial pressures, workforce shortages, and rising patient demand are pushing health systems to rethink how they deliver care. The traditional hospital-centered model is giving way to strategies that prioritize prevention, access, and efficiency. By embracing value-based care and new technologies, organizations aim to curb costly emergency visits, ease capacity strains, and deliver better outcomes…
Humana Healthcare Research has released new data showing that Medicare Advantage patients with heart failure who are treated by value-based care (VBC) physicians are significantly more likely to receive recommended therapies than those in traditional care models. According to Humana’s Value-Based Care Issue Brief, patients in VBC arrangements were nearly 28% more likely to receive full quadruple therapy —…
Using ambient AI scribe technology was associated with significant reductions in physician burnout and improvements in well-being, a new study published in JAMA Network Open reveals. The study, which includes survey data from Mass General Brigham (MGB) and Emory Healthcare, indicates that ambient AI scribe tools enhance clinician experience. These tools leverage generative AI to record patient-provider conversations during a clinical…
Rising costs, strained provider networks, and outdated administrative processes continue to destabilize the US health care system, leaving both patients and employers grappling with uncertainty. At the Greater Philadelphia Business Coalition on Health (GPBCH) annual conference, a session titled “Merge Ahead: The Health System and Payer Dynamic” brought together leaders from both the provider and payer sides to examine…
Download Slides The costs of specialty care have come under the public eye of Value-Based Health Care. As health care costs continue to escalate, CMS has been pivoting to higher risk vehicles to push for cost accountability among providers. One of these is TEAM, Transforming Episode Accountability Model, set to start in January, 2026….