Healthcare inequity is a pervasive issue plaguing our society, driving a divide in access and quality of care that negatively impacts patients. The reality is that many people cannot receive quality medical care due to factors such as type of insurance, (in)ability to pay, and location. These factors are identified as social determinants of health, or SDoH….
Download Slides Artificial Intelligence (AI) has the potential to reshape the healthcare landscape—but is that a good thing or a bad thing? That depends on how the technology is defined and applied. The healthcare market has seen a flood of new AI solutions that, according to the companies behind them, will revolutionize healthcare; so…
Value-based care is smarter healthcare that lowers costs and keeps Medicare Advantage members healthier, according to the tenth annual Value-Based Care Report released today from Humana Inc. The 2023 report shows that Medicare Advantage (MA) patients receiving care under value-based arrangements spent more time with their primary care physician and were more likely to receive…
Big Tech and retail giants continue to expand into healthcare, investing more money in value-based care and putting more pressure on hospitals and health systems to bend the cost curve and prioritize digital health investments capable of providing value. With more competitors entering the sector —- and patients increasingly shopping for the best value for…
Download Slides The Centers for Medicare and Medicaid Services (CMS) is displaying a strong commitment to transitioning the healthcare system towards 100% value-based care (VBC) by 2030. This ambitious goal signifies a significant shift from the traditional fee-for-service model to value-based payment models. The move towards VBC is driven by the increasing recognition of…
Clinical factors are responsible for just 20 percent of individuals’ health outcomes; the remainder can be attributed to factors such as health-related social needs (HRSNs). Increasing recognition of the impact of these needs on consumers’ health and livelihoods is driving momentum across the healthcare ecosystem to integrate health and social care, creating opportunities for healthcare entities to…
Download Slides Value-based care entities often feel like they are behind the curve, always reactive, lacking insights and resources to be proactive. Value-based care experts, Erin Page and Dr. Kent Locklear will cover the 4 key pillars to a winning value-based care strategy and how they connect seamlessly to achieve the quadruple aim. The…
The U.S. spends huge amounts of money on health care that does little or nothing to help patients, and may even harm them. In Colorado, a new analysis shows that the number of tests and treatments conducted for which the risks and costs exceed the benefits has barely budged despite a decade-long attempt to tamp…
The U.S. healthcare system’s transition to value-based care might be slowed by current financial conditions, according to an October 2023 report published in NEJM Catalyst. In June, 915 members of an NEJM Catalyst Insights Council — composed of clinicians, clinical leaders and executives at organizations directly involved in care delivery — were surveyed about their…
As Value-Based Care expands, payers are emphasizing cost reduction all the more. Newer CMS payment models like ACO REACH reinforce cost control by capping reimbursement in total global payments to ACOs. In turn, global payments enable ACOs to directly negotiate rates with preferred provider specialists. In addition to focusing on controlling costs delivered through primary…