In the health care industry, the conversation around value-based care (VBC) has been abuzz for a while now. The idea is simple: pay for outcomes, not for services, and shift our mindset from volume to value as we reduce unnecessary care, improve outcomes and bend the cost curve. However, when we talk about VBC, we often overlook a…
Medicaid programs offer a unique venue for behavioral health providers to push the industry toward greater adoption of value-based care. Often, leaders across the industry note that they see the most receptiveness and make the most progress on payment innovation in their alliances within the realm of Medicaid. Still, there is palpable frustration at the lack of…
From new tech to value-based care, leaders of Anthem Memory Care, Juniper Communities and Northbridge Companies see a need to alter the senior living model and innovate for the industry’s next residents. Senior living companies are innovating by implementing new tech into their operating models while also enhancing them with new value-based care payment sources….
Sixty-four percent of healthcare organizations say they expect higher revenue this year from value-based care arrangements as compared to last year, finds a new report from Innovacer and the National Association of Accountable ACOs. Based on a nationwide survey of 168 healthcare leaders across 142 organizations, the results mark a sharp increase in confidence despite ongoing structural and operational…
Healthcare is undergoing a major shift. Rising costs, a growing number of chronic disease cases and an aging population have revealed the limitations of the traditional fee-for-service (FFS) model. Under FFS, providers are paid based on the volume of services rendered—regardless of the outcomes. This has led to inefficiencies, fragmented care and increasing financial pressure on both patients…
Women primary care physicians (PCPs) participating in full-risk Medicare Advantage (MA) value-based payment models earned more than their male counterparts and delivered better clinical outcomes, according to a new study published May 16 in JAMA Health Forum. The findings show a reversal of the well-documented gender pay gap in medicine, raising new questions about how different payment structures affect equity…
The term “value-based care” is tossed around like a political football among healthcare policy makers. Nowhere is the meaning of this so variable as in nursing homes. The Nursing Home Value-Based Purchasing Demonstration project, completed over a decade ago, was not found to lower spending or improve quality. Webster’s Dictionary defines value as “the monetary worth of something,”…
In today’s complex healthcare landscape, Physician Advisors (PAs) play an increasingly vital role in ensuring hospitals and health systems function smoothly, efficiently, and with a focus on patient-centered care. As healthcare spending continues to rise, the need for professionals who can effectively navigate the intersection of clinical practice and financial stewardship has never been greater. What is a Physician Advisor? Physician Advisors serve as…
The Center for Medicare and Medicaid Innovation (CMMI) announced its approach to President Donald Trump and Secretary Robert F. Kennedy’s call to “Make America Healthy Again” – and it promises to, among other aims, increase patients’ ability to receive care in the setting of their choice, including the home. The new strategy, announced Tuesday, also…
Download Slides Best Value-Based Care Strategies for A Cost-Focused Future Provider strategies for Value-Based Care participation will be significantly different under the new federal administration’s cost cutting agenda. Along with changes in Medicare Advantage’s position in the new CMS vision of Value-Based Care, there are fewer payment models and hints of other changes to come….