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The Intersection of Value-Based Care, Precision Medicine at Intermountain

September 2, 2022Garrett Schmitt

At this week’s National Human Genome Research Institute meeting on “genomic learning healthcare systems,” an Intermountain Healthcare executive described the link between value-based care and precision medicine. Howard McLeod, PharmD, executive clinical director of precision health for Utah-based Intermountain Healthcare, initially spoke about the learning health system approach at Intermountain. McLeod said that for a…

Industry Voices—No risk, no reward: How health plans are helping providers take on more risk in the transition to value-based care

September 1, 2022Garrett Schmitt

For several years now, the healthcare industry has been slowly but surely inching toward the tipping point of value-based care. While the Health Care Payment Learning & Action Network (HCPLAN) states that just 39.3% of all payments had no link to quality or performance in 2020, the organization also found that only 17.9% of reimbursements flowed through…

FLASH INTERVIEW — CareAllies September 2022

September 1, 2022Garrett SchmittNo Comments

 Ranked #1 from 2018-2022 in the Top Healthcare Consultants & Advisors: Value Based Care Solutions report by Black Book Research, CareAllies has more than 20 years of experience working with hospitals, health systems and provider groups to radically simplify their unique journeys to more rewarding health care. CareAllies acts as an extension of organizations…

Addressing Challenges in Primary Care—Lessons to Guide Innovation

September 1, 2022Garrett Schmitt

The Centers for Medicare & Medicaid Services (CMS) is committed to advancing health equity, expanding coverage, and improving health outcomes. To support this vision, the CMS Innovation Center announced an ambitious goal for the year 2030: to have 100% of beneficiaries in traditional Medicare and most Medicaid beneficiaries in accountable care relationships with providers who…

Top 3 Social Determinants of Health Barriers Among Seniors

August 31, 2022Garrett Schmitt

Three major social determinants of health factors are particularly predominant barriers to care for America’s seniors: economic instability, loneliness, and food insecurity, according to a study sponsored by Alignment Healthcare. Researchers from Toluna conducted an online survey from July 24 to August 13, 2022, which reached 2,600 seniors ages 65 and older. Most respondents identified…

FLASH INTERVIEW — BioReference August 2022

August 30, 2022Garrett SchmittNo Comments

 BioReference Laboratories, Inc. is one of the largest full service specialty laboratory in the United States. With a focus on genetics, oncology, urology and women’s health, BioReference offers comprehensive test solutions and unparalleled expertise based on a 40 year legacy of proven science. Delivering reliable, convenient and innovative diagnostic solutions tailored to the specific needs…

Value-based care gains ground

August 30, 2022Garrett Schmitt

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,…

CMS Releases the Latest MSSP Numbers, Touts Savings and Quality

August 30, 2022Garrett Schmitt

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,…

FLASH INTERVIEW — Stellar Health August 2022

August 30, 2022Garrett SchmittNo Comments

 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…

FLASH INTERVIEW — Validate Health August 2022

August 25, 2022Garrett SchmittNo Comments

 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,…

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