Is value-based care having a moment? Health care policy experts and institutions have long agreed that fee-for-service (FFS) medicine is wasteful, outmoded and at least partially responsible for the U.S. spending far more than peer nations on health care, but with outcomes that are no better and often worse. Now, after years of experimenting, cajoling,…
On Tuesday, Aug. 30, officials at the Centers for Medicare & Medicaid Services (CMS) announced the latest financial and quality results from the Medicare Shared Savings Program (MSSP), touting the overall savings to the Medicare program that the participating accountable care organizations (ACOs) participating in the program have achieved over the past program year. Meanwhile,…
Stellar Health partners with both payers and value-based care organizations to develop a tailored incentive program to reward the completion of granular value-based care actions by primary care providers. The Stellar Health Platform includes the web-based Stellar Application, which delivers a simple checklist of recommended clinical actions to practices based on each patient’s medical…
Accountable Care Organizations have often struggled in the chaotic environment of changing regulations and increasing risk-bearing responsibilities. Validate Health was launched to help both physician-led and health system ACOs navigate the challenges of making financial decisions with due diligence. Using actuarial best practices, computer simulation, and national healthcare data, Validate Health providers confidence for ACO boards,…
Download Slides Join Laura Stewart, Healthjump’s Director of Product Delivery, as she shares her tips on how to best go about solving your interoperability issues. Formerly from Cerner, she shares a decade of experience accessing data from EHR systems. Learn how to evaluate vendors on data consistency and completeness, keep a project on track…
Congratulations! Your organization has been approved to join a value-based care payment model. Your provider contracts are signed, your attribution estimates are finalized, and you are preparing a primary care coordination strategy. Now, what comes next as you prepare for your upcoming performance year? It’s time to build out your preferred specialist network. Fulfilling Network…
In less than a decade, social determinants of health (SDOH) have evolved from a new concept into a core strategic imperative for healthcare providers, payers and government health agencies alike. Few question the importance of addressing the nonclinical factors that impact health on an individual and population level. However, organizations often face obstacles in gathering…
One in five people over the age of 55 have at least one mental health concern, with depression and anxiety being the most common. There are many factors that can negatively impact an older person’s mental health. Declining physical health, the onset of multiple chronic conditions, less independence, and more limited social interactions can lead…
The COVID-19 pandemic has shown the tight link between data and equity. Data are critical to identifying disparities, promoting social mobility, and advancing health for our communities. But gaps in data can have the opposite effect. Without data, opportunities to address inequities and social justice are erased. Although more than 27 percent of US adults…
Most value-based payment programs have failed to significantly reduce healthcare spending or improve the quality of care for patients. Many have actually resulted in higher healthcare spending, and some have made it harder for patients with complex conditions to receive adequate care. The reason current programs have failed is that payers have tried to create…