Healthcare has a spending problem. For all the investments made in healthcare—$4.1 trillion to be exact—outcomes are not where they should be. In fact, the US has the lowest life expectancy compared to other high-income countries, including Australia, Canada, and the United Kingdom. The Commonwealth Fund also reports that, compared to these peers, the US…
Philip M. Oravetz, MD, MPH, chief population health officer at Ochsner Health, in Louisiana, has some crucial advice for other health systems mulling value-based contracts. Before signing, get a commitment from your payers to provide claims data. This has been a sticking point for the move to value-based care for many years, said Dr. Oravetz,…
Download Slides In this webinar, Stellar Health and advisor Dr. John Fitzgerald, Founder of the Indiana University Health ACO and Former SVP for Population Health, explore the challenges of implementing value-based care in academic medical centers, identify the opportunities for success and share best practices in implementing and driving these strategies within existing academic…
When MetNetOne Health Solutions established roaming physician teams that would go from practice to practice to help address chronic disease management needs around two decades ago, it became apparent that something was missing. The teams lacked a behavioral healthcare specialist. From that realization, the organization developed its strategy around integrated behavioral and physical healthcare, which…
Health equity has been thrust into the spotlight with providers, regulatory agencies, and payers seeking ways to identify and eliminate disparities in care across race and ethnicity, gender, sexual orientation, socioeconomic status, and other lines. It is a priority further impacted by the emergence of new quality-based care models that go beyond those established under…
Accountable care organizations (ACOs) aim to improve healthcare quality for patients while reducing costs. Even as healthcare providers have operated in an unstable industry for the past few years, ACO programs have continued to achieve shared savings and promote the shift to value-based care. Programs like the Medicare Shared Savings Program (MSSP) and Direct Contracting—soon…
A team of healthcare policy researchers has looked at efforts to advance health equity in eight different nations, and found some potentially helpful lessons for leaders in the U.S. healthcare system who are attempting to do the same. In a blog published to the website of the New York City-based Commonwealth Fund and entitled “Advancing…
Many healthcare experts consider value-based care as a key step toward improved health outcomes and lower costs, but adoption has been slow. Research from Insights by Xtelligent Healthcare Media indicates that organizations moving to value-based care benefit from robust data analytics capabilities and support to fuel the move away from fee-for-service reimbursement. These efforts can…
Humana Inc. (NYSE: HUM) will continue to grow its home health segment. The company’s leaders made that – and other plans – clear during its investor meeting Thursday. “Our focus on sustained growth and operational efficiency has driven strong year-over-year performance and a positive long-term outlook,” Andy Agwunobi, president of Humana’s home solutions business, said during…
In February 2022, the Centers for Medicare & Medicaid Services (CMS) announced ACO REACH, extending the Direct Contracting model to better align with CMS’ strategic initiatives. In this new model, CMS introduced many significant changes to achieve the goals, after which REACH is named – Realizing Equity, Access, and Community Health. Specifically, CMS implemented five…