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CMMI cancels 4 payment models early

March 13, 2025Garrett Schmitt

The CMS estimates terminating the models will save nearly $750 million. The agency will also no longer implement two demonstrations that aimed to improve prescription drug affordability and access. Dive Brief: The CMS Innovation Center is canceling four payment models early and halting two demonstrations before they begin, the agency said Wednesday, in the Trump administration’s…

How Houston Methodist’s ACO Reduced Its End-of-Life Spending by Nearly 20%

March 10, 2025Garrett Schmitt

Houston Methodist Coordinate Care is reducing costs through a partnership with Koda Health, a digital platform that guides patients through their end-of-life choices. Preliminary findings show the technology resulted in a 19% reduction in the total cost of care for patients at the end of their life, which equals nearly $9,000 in savings per patient….

Policy Strategies To Propel Community Health Centers Into Value-Based Payment

March 10, 2025Garrett Schmitt

As the threat of significant Medicaid cuts loom, the urgency to control costs while maintaining or improving quality in the safety net has never been greater. Value-based payment (VBP) models offer a clear path forward by shifting incentives from volume to value, rewarding providers for improving patient outcomes rather than simply delivering more services. By…

Integrating Specialists for Success in Value-Based Care

March 9, 2025Garrett Schmitt

In 2025, the continued growth of Medicare Advantage underscores the increasing importance of specialists in value-based care, as healthcare models shift toward more integrated, patient-centered approaches. On this episode, Dan sits down with Lynn Carroll, COO and Head of Strategy at HSblox, to explore how specialists can successfully engage in value-based care models. Tune in…

How Can EHRs Support the Shift to Value-Based Care and Reduce Clinician Burnout?

March 7, 2025Garrett SchmittAI, Artificial Intelligence

A webinar sponsored by Elation Health highlighted some of the challenges primary care practices face and how a more thoughtful, nuanced approach to health tech could transform healthcare practices. MedCity News Editor-in-Chief Arundhati Parmar moderated a conversation with Elation Health executives Dr. Sara Pastoor, head of primary care advancement, and Meaghan Sullivan, senior sales engineer….

BrightSpring CEO: Home-Based Primary Care Holds Major Upside For ACO, Payer Strategies

March 6, 2025Garrett Schmitt

The leadership team at BrightSpring Health Services (Nasdaq: BTSG) has highlighted home-based primary care as a major business opportunity in the near future. “Home-based primary care represents a significant opportunity in the coming years, with ACO and payer strategies continuing to develop,” BrightSpring President and CEO Jon Rousseau said Thursday during the company’s fourth-quarter 2024…

3 Essentials to Cut Health Care Costs Without Cutting Patient Care

March 6, 2025Garrett Schmitt

There is an understandable fear and a little outrage right now about health care budget cuts. Some proposed cuts will raise the amount of unfunded care for hospitals and physicians if Medicaid coverage is reduced, and impact patients in nursing homes. Other proposals will eliminate offsets for medical debt or physician education through residency programs….

ASCs poised to win big in the value-based care revolution

February 26, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

As the healthcare industry continues its shift toward value-based payment models, ASCs could be poised to be major beneficiaries of this transformation. Many industry leaders believe ASCs’ cost efficiency, streamlined operations and focus on quality outcomes make them ideal candidates for success in a value-driven healthcare landscape. According to FTI Consulting’s “Hospital Operations Outlook Survey,”…

The Vibe at ViVE: Health Tech Leaders Share Insights from AI to Value-based Care

February 26, 2025Garrett SchmittAI, Artificial Intelligence

Executives from TailorCare, Altera Digital Health, and WiPro shared insights at the ViVE 2025 conference in Nashville. John Petito, TailorCare Chief Strategy Officer, talked about what sets the company apart, particularly its multi-pronged approach to specialty value-based care. TailorCare is focused on using PT to improve outcomes for patients with joint, back, and muscle conditions,…

Inside Value-Based Care Models Eyeing a Future Without Gaps in Care Between Nursing Homes, Other Settings

February 26, 2025Garrett SchmittACOs, CMS, nursing homes, SNFs

The future of value-based care programs will likely focus on greater integration of care, as nursing homes and other providers in the health care continuum discover the benefits of more thoughtful discharges – less focused on swiftness and more on moving patients through a continuum of care – in order to close costly gaps in…

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