While the United States spends more of its gross domestic product on health care than other high-income countries in the world, Americans do not have more affordable or more accessible care. Life expectancy in the U.S. is also lower compared to peer countries, and rates of avoidable deaths are higher. The predominance of fee-for-service payment in…
A decade ago, the federal government launched its large-scale Medicare Access and CHIP Reauthorization Act (MACRA) in an attempt to move more physicians into value-based care to rein in exploding costs and improve care. Later this summer, Medical Economics will release the second edition of Medical Economics Insider featuring an in-depth look at how successful MACRA has been…
For all the debate about artificial intelligence in health care, one quietly transformative shift is taking place not through machines, but through video calls. A growing number of U.S. hospitals are now using virtual nurses to handle admissions and discharges remotely. The promise? Relief for burnt-out bedside nurses, better care coordination and fewer patients bouncing…
In this episode, we’re joined by Dr. Keith Berkle, chair of Privia Women’s Health, who discusses the challenges OBGYNs face in transitioning to value-based care. Welcome back to another episode of MedCity FemFwd, a podcast dedicated to discussing the breakthroughs and challenges in women’s health. In this episode, we’re joined by Dr. Keith Berkle, chair…
Download Slides This webinar will demonstrate how an ACO integrated AI-powered predictive models into its advanced care planning programs to identify patients earlier and improve alignment with their care goals. Participants will explore how these tools analyze complex patient data to forecast risk, support timely advanced care planning, and optimize resource allocation. Real-world case…
Abstract This Perspective discusses the fiscal challenge facing Medicare and how that challenge may be differentially met by fee-for-service, accountable care organization (ACO), and Medicare Advantage (MA) payment systems. The non-MA part of Medicare includes both fee-for-service and ACO payment systems and is sometimes referred to as traditional Medicare. Fee-for-service, although in need of reform,…
The best decision will always be an informed decision – especially in healthcare. The more data that your providers have about you and your health, the better they can care for you. The only problem in this case is that you don’t receive all of your healthcare at the same location from the same doctor….
Download Slides Did you know that MSK conditions affect over 50% of adults and cost the health care system an estimated $420 billion annually— that’s more than diabetes, heart disease or any other chronic condition that plagues our population. And, in addition to the surgeries, PT, imaging and medication costs, you can add another $83B…
The AMA has joined dozens of other physician and health care associations and hundreds of accountable care organizations (ACOs), health systems, hospitals and physician practices in calling on Congress to take steps to sustain the nation’s transition to value-based care. Congress, the AMA and others said, should prioritize extension of Medicare’s advanced alternative payment model…
Heads up! CMS’s Proposed 2026 PFS Rule introduces a new payment model for tackling specialty care and costs in traditional Medicare. Clearly not a snap decision, Ambulatory Specialty Model (ASM) has been cooked until well-seasoned and served up in 210 pages of the proposed Rule. Unlike a typical Notice from the CMS Innovation Center that initiates many Value-Based Care…