Value-based care encompasses a broad variety of payment models in which health care providers are incentivized to provide better care at lower costs. Eleven years ago, we began presenting information on accountable care organizations (ACOs) including the count of distinct organizations entering into accountable care contracts and the number and distribution of lives covered by…

For decades, the level and growth of US health care spending has diverged from both international and domestic norms, leading many to characterize rising health expenditures as “unsustainable.” Between 1970 and 2019, total US health spending grew from 6.9 percent of gross domestic product (GDP) to 17.7 percent of GDP, according to the Centers for…

Imagine going into your doctor’s office and facing not a staff of overworked doctors and nurses, but an inviting conversation. A talk with a healthcare professional who has plenty of time, isn’t in a hurry and is ready to listen to a recital of the different aches and pains of your life. Someone with expertise…

Health care in America traditionally is paid on a fee-for-service basis, with doctors billing and getting reimbursed for each service they provide. But in recent years, growing numbers of doctors and payers have been experimenting with value-based payment models, under which doctors are paid based on how well they care for patient populations while controlling…

What You Should Know: – Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments. – For their latest report, Value-Based Care Reimbursement 2022, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs,…

In a previous post, we demystified the Alternate Payment Model Performance Pathway (APP) and explained how, by partnering with a Clinical Data Registry experienced in data aggregation and result submissions to CMS, you can avoid the bugaboos falsely attributed to APP reporting—perceived high costs and impossible timelines. Here we’ll show you how to leverage your…

It’s easy to focus on patient complaints in the healthcare setting. Injuries, worrisome labs and other symptoms are obvious red flags for patient health. But medical interventions like these influence patient outcomes only 20 percent of the time or less. Social determinants of health affect the remaining 80 percent. When we talk about SDOH, we…