Collaboration, clinical evidence, data sharing and a focus on patient access are some of the critical things needed to provide those with cancer the best care while managing costs, say panelists at a session at the Pharmacy Benefit Management Institute’s annual meeting today in Orlando. This will be even more critical as new targeted, innovative…
In 2025, it’s harder than ever to access primary care in the United States, with patients now waiting an average of 31 days for an appointment — a 50% increase over the past two decades. A new Health Affairs Forefront article points to income disparities as a key factor in this trend. Specialists earn about $394,000 annually,…
Download Slides Success in value-based care (VBC) depends on providers working together to deliver high-quality, cost-effective care. However, without access to the right data, they’re forced to navigate VBC challenges without a clear path forward. Join Milliman MedInsight and Genesys PHO for an interactive webinar where we’ll uncover how advanced performance analytics can reveal…
From improving outcomes for vulnerable, post-acute patients to building collaborative networks using real-time data for measurable impact, it can take several different approaches to deliver quality care and get reimbursed in the world of value-based care. In an interview, Steve Holt, VP Government Affairs, PointClickCare, discussed how hospitals and ACOs can succeed with alternative payment…
Out of U.S. News & World Report’s top 50 heart hospitals, Phoenix-based Mayo Clinic Arizona and Rochester, Minn.-based Mayo Clinic had the highest total performance scores in CMS’ Hospital Value-Based Purchasing program for fiscal 2025, at 51.5 and 51.08, respectively. Through its HVBP program, CMS pays hospitals for “inpatient acute care services based on the quality of care, not just…
The Medicare Shared Savings Program, or MSSP, is the largest ACO program in Medicare with 10.3 million beneficiaries covered by almost 480 ACOs. Participating ACOs receive a portion of the savings they generate compared to a benchmark, while ACOs with spending exceeding the benchmark might have to pay a penalty. The goal is to improve…
Download Slides Ready to shift into high gear and lead the race? Welcome to the ultimate challenge to the finish line is five-star excellence in medication adherence! In this webinar, we’re not just talking about medication adherence—we’re talking about dominating the track with precision targeting, perfect timing, and a pit crew approach that gets…
Ari Shabat: Well, we just heard a little bit of that from Joel Theisen, founder and CEO from Lifespark, in the previous session. His concept of “choppy interactions” and the effort to build a sensible workflow really ties into admissions — because that’s where value-based care either begins or breaks. Many facilities still treat admissions as…
Both the greatest strength and weakness of the ACO shared savings (MSSP) model is its focus on primary care, particularly chronic disease. ACOs have put patients with diabetes, hypertension, and other conditions usually handled through primary care physicians at the center of care coordination, population health, and care management. But as CMS Value-Based Care’s central…
Care New England Health System in Providence, R.I., has participated in value-based contracting for years with some success. But over the last 12 to 18 months, the health system has reframed how they think about “value” to serve the community better. “The Rhode Island landscape for value-based contracting has been financially challenging, and those pressures…