The saying “you cannot manage what you cannot measure” applies to all aspects of healthcare delivery, but it is especially true in value-based care. After all, payers, providers, and the patients they care for need to know what high-value care looks like at an individual level – and how it can be applied at the…
Are you considering entering into APM contracts with private payers? Bravo! Teaming with commercial health plans and employers is a strong opportunity for growing patients through APM arrangements. Expanding your APM agreements into all payment types will be essential to back the incentives you build into your workforce for performance-based pay. But those contracts must…
Download Slides As the industry continues to shift focus away from traditional fee-for-service models to value-based care, hospitals and health systems are increasingly responsible for care beyond the four walls of the hospital. With two ACOs and a robust SNF network, Dr. Mark Calderon, Medical Director Integrated Care at Atlantic Health, shares his approach…
Download Slides If you are just starting your approach to Value-Based Care and considering an ACO or other type of APM, where in the world should you start? While some of the early adopters began by rounding up their usual physicians and filing an ACO application, it’s no longer that easy. Value-based care payments now…
Download Slides The Quadruple Aim of physician satisfaction is such an important aspect of value-based care. In the predominant world of fee-for-service reimbursement, physicians are struggling and burned out. Consequently, over half of all doctors won’t even recommend medicine as a career. This negative shift in wellbeing is important to understand because the attitudes and…
Congress must extend Medicare’s payment bonus to doctors participating in alternative payment models (APMs) to incentivize them to continue, doctors and health policy experts said Thursday at a Capitol Hill briefing. “It’s not like you can go from fee-for-service today and then jump into an APM tomorrow,” said Kisha Davis, MD, MPH, vice president of…
A number of major health technology companies have partnered with the White House in an effort to standardize the sharing of patient data on social determinants of health. The White House announced a Sync for Social Needs coalition that includes Oracle-Cerner, Geisinger, Epic, Rush University System for Health and many more. As part of the…
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…