Accountable care organizations (ACOs) still play an important role in value-based care, and shifting away from them at this time would be a mistake, according to Luke Hansen, M.D., M.H.S. In a video interview with Managed Healthcare Executive, Hansen explained why ACOs are still important. “Bundled programs are a necessary piece,” Hansen said. “The ACO…
Download Slides Exploring how AI-driven analytics can transform care management through focus on Population Health Risk Stratification and Predictive Modeling. We will discuss how advanced data science techniques using Electronic Health Records (EHR) and claims data provides us an opportunity to perform risk stratification to help identify high-risk populations, predict adverse health events, and…
The future of value-based care under the current Trump administration depends on a variety of factors, according to Luke Hansen, M.D., M.H.S., and chief medical officer of Arcadia. “Changes in administration are an opportunity to reexamine the success of previous programs,” Hansen said in a video interview with Managed Healthcare Executive. “My take on it…
Download Slides Cuts in the federal budget might be like running into a buzz saw for your health care finances. For academic systems, loss of indirect costs of research alone could wipe out 30% or more of the bottom line. Along with that, proposed changes in Medicaid, elimination of medical debt money, and redirection…
There is a lot happening in federal policy that may affect healthcare payment transformation and care delivery. But we’ve said it before: healthcare leaders can’t afford to focus on fighting near-term fires at the expense of driving long-term success and sustainability. Amidst the uncertainty, it’s more important than ever to push forward conversations about how…
Over the last 10 years, we’ve seen a rise in value-based care (VBC) programs. Although some have shown promise in enhancing quality or reducing costs, none have achieved comprehensive scale across payers, providers, and patients, nor have they been integrated across different care pathways. There’s a compelling opportunity to expand the benefits of these programs…
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…
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….
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…
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…